Steven G. Kohlstrom, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17904 Issued in CA

Practice address

211 Gough St
Suite 103
San Francisco, CA 94102-5946

Phone

(415) 336-2638

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1841209251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GOUGH ST",
            "address_2": "SUITE 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025946",
            "telephone_number": "415-336-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GOUGH ST",
            "address_2": "SUITE 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025946",
            "telephone_number": "415-336-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLSTROM",
        "first_name": "STEVEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PSY179040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Kohler
• Lori S Kohler, MD
• Rachel Buchanan Kohler, DPT
• Marc D Kohli, M.D.
• Deborah Vaughan Kohloss, PH.D.
• Robert Jeffery Kohlwes, MD, MPH
• Sabrina Kohmann, MFT
• George W Kohn
• Keiko Koide, MFT INTERN
• Adline Vadhana Koilpillai, B.D.S., M.D.S.

• 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 Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.