Individual provider Active NPI

Jennifer Susan Wygant, DO

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1831628304
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A23425 Issued in CA
Practice address
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Phone
(415) 985-6697
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A23425 CA Primary

Addresses

Primary practice location

100 Pine St Ste 1250
San Francisco, CA 94111-5235

Mailing address

109 W 27TH St Ste 5S
New York, NY 10001-0265

Other practice location 1

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240424002658 MI Practitioner - Psychiatry 1850669847 Reassigns benefits to 1 organization
I20240430000930 CO Practitioner - Psychiatry 1850669847 Reassigns benefits to 1 organization
I20240507001801 NY Practitioner - Psychiatry 1850669847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

2373 Central Park Blvd
Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255

455 E Eisenhower Pkwy
Suite 300
Ann Arbor, MI 48108-3324
Phone (833) 351-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Apr 18, 2024 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince May 1, 2024 Accepting new patients

Locations

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 531-8310

455 E Eisenhower Pkwy
Ste 300
Ann Arbor, MI 48108
Phone (517) 580-5727

4200 Fashion Square Blvd
Ste 201
Saginaw, MI 48603
Phone (872) 368-4123

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 2

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1831628304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST STE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE ST STE 1250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115235",
            "telephone_number": "415-985-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYGANT",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A23425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.