Individual provider Active NPI

Diane Ehrensaft, PHD

  • Psychologist
  • Oakland, CA
National Provider Identifier
1770782591
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY7342 Issued in CA
Practice address
445 Bellevue Avenue
Suite 302
Oakland, CA 94610
Phone
(510) 547-4147
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY7342 CA Primary

Addresses

Primary practice location

445 Bellevue Avenue
Suite 302
Oakland, CA 94610

Mailing address

445 Bellevue Avenue
Suite 302
Oakland, CA 94610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107001064 CA Practitioner - Psychologist Billing Independently 0840314084 Reassigns benefits to 3 organizations
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Nov 7, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 7, 2020 Accepting new patients
UCSF Pediatrics Associates CurrentSince Nov 7, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 7, 2020 Accepting new patients
University of California San Francisco CurrentSince Nov 7, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

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

2330 Post St
Ste 219
San Francisco, CA 94115
Phone (415) 353-2002

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

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

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1770782591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BELLEVUE AVENUE",
            "address_2": "SUITE 302",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BELLEVUE AVENUE",
            "address_2": "SUITE 302",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-547-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENSAFT",
        "first_name": "DIANE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY7342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.