Jacelyn Bronte, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23073 Issued in CA

Practice address

582 Market St Ste 801
San Francisco, CA 94104-5309

Phone

(415) 763-5294

Fax

(510) 433-0552

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1801088786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 801",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045309",
            "telephone_number": "415-763-5294",
            "fax_number": "510-433-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 801",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045309",
            "telephone_number": "415-763-5294",
            "fax_number": "510-433-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONTE",
        "first_name": "JACELYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Bromberger, M.D.
• Max Nathaniel Brondfield
• Samuel Craig Brondfield, M.D.
• Katherine A. Broner, M.D.
• Merrill H Bronstein, M.D.
• Brian K. Bronzo, M.D.
• Michael R. Bronzo, M.D.
• Michael Brook, M.D.
• Michael Wagner Brook, MD
• Brooke Bennis, DO, Inc.

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.