Individual provider Active NPI

Jane Christmas, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1780619346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19424 Issued in CA
Practice address
703 Market St
Suite 410
San Francisco, CA 94103-2102
Phone
(415) 896-2500
Fax
(415) 896-2511
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19424 CA Primary

Addresses

Primary practice location

703 Market St
Suite 410
San Francisco, CA 94103-2102

Mailing address

703 Market St
Suite 410
San Francisco, CA 94103-2102
Phone (415) 896-2500

Other identifiers 1

IdentifierTypeStateIssuer
OPL194240OtherCABLUE SHIELD PROVIDER NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2023 through Feb 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19424CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anders Greenwood, Doctor of Psychology, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780619346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "address_2": "SUITE 410",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032102",
            "telephone_number": "415-896-2500",
            "fax_number": "415-896-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "address_2": "SUITE 410",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032102",
            "telephone_number": "415-896-2500",
            "fax_number": "415-896-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NO.",
            "identifier": "OPL194240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.