Clinical Integrative Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICAL INTEGRATIVE SERVICES, INC

Doing business as

Clinical Integrative Services, Inc

Practice address

505 1St Ave
San Mateo, CA 94401-3213

Phone

(415) 517-9235

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Annette Goldman, PSYDNPI 1679891790

Title

Chief Clinical Officer

Phone

(415) 517-9235

Specialties & licenses 1

Addresses

Other names 1

• Clinical Integrative Services, Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Rosa Goldman, PSYD

  • Psychologist
  • San Francisco, CA
  • NPI 1679891790
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1801467055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731A 2ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184020",
            "telephone_number": "415-517-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 1ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013213",
            "telephone_number": "415-517-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL INTEGRATIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "415-517-9235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Integrative Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Ross Clemens, CATC
• Marie Clemente
• Jan Clements, APRN
• Daniel Vincent Clevenger, DDS
• Ronald Harrison Clifton Jr.
• Clinical Psychology Solutions PLLC
• Penelope Clizbe
• Siobhan Theresa Cloherty
• Rachel Cloud-Holloway, M.S.W.
• Kaitlyn E Clouser

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.