Individual provider Active NPI

David Sifri, PSY.D.

  • Clinical Psychologist
  • San Mateo, CA
National Provider Identifier
1851008478
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34884 Issued in CA
Practice address
318 S B St Ste 5
San Mateo, CA 94401-4029
Phone
(650) 239-6866
NPI assigned
Nov 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 PSY34884 CA Primary

Addresses

Primary practice location

318 S B St Ste 5
San Mateo, CA 94401-4029

Mailing address

245 N Swall Dr
Beverly Hills, CA 90211-1712
Phone (513) 967-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY34884CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Solutions PLLC Clinical CurrentSince Nov 6, 2022 Accepting new patients

Locations

318 S B St
Ste 5
San Mateo, CA 94401
Phone (650) 239-6866

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1851008478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N SWALL DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111712",
            "telephone_number": "513-967-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S B ST STE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014029",
            "telephone_number": "650-239-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFRI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.