Active NPI
Tania Shertock, Psychologist, a Professional Corporation
- Cognitive & Behavioral Psychologist
- San Francisco, CA
National Provider Identifier
1770858581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PSY15367
- Legal business name
- TANIA SHERTOCK, PSYCHOLOGIST, A PROFESSIONAL CORPORATION
- Practice address
- 18 Chenery St
San Francisco, CA 94131-2707 - Phone
- (415) 293-3450
- NPI assigned
- Mar 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tania Shertock
- Title
- Ceo
- Phone
- (415) 293-3450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY15367 | CA | Primary |
Addresses
Primary practice location
18 Chenery St
San Francisco, CA 94131-2707
Mailing address
18 Chenery St
San Francisco, CA 94131-2707
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- San Francisco, CA
- NPI 1982918041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1770858581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CHENERY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CHENERY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312707",
"telephone_number": "415-293-3450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANIA SHERTOCK, PSYCHOLOGIST, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "SHERTOCK",
"authorized_official_first_name": "TANIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-293-3450",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY15367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.