Individual provider Active NPI

Marisol Romero, PSYD

  • Clinical Child & Adolescent Psychologist
  • San Francisco, CA
National Provider Identifier
1740336783
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
27105 Issued in CA
Practice address
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone
(949) 677-9687
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 27105 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002393 CA Practitioner - Clinical Psychologist 9638499239 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27105CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2025 Accepting new patients
UCSF Psychiatry CurrentSince Jan 15, 2025 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

770 53rd St
Oakland, CA 94609
Phone (510) 428-3441

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1740336783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "949-677-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARISOL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "27105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.