Individual provider Active NPI

Nicholas Hodder-Hastorf, AMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1851880637
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117046 Issued in CA
Practice address
98 Bosworth St
San Francisco, CA 94112-1002
Phone
(415) 551-0975
Fax
(415) 551-1763
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Marriage & Family Therapist 106H00000X 117046 CA Primary

Addresses

Primary practice location

98 Bosworth St
San Francisco, CA 94112-1002

Mailing address

98 Bosworth St
San Francisco, CA 94112-1002
Phone (415) 551-0975

Other practice location 1

425 Divisadero St Ste 300
San Francisco, CA 94117-2242
Phone (415) 551-0975

Other practice location 2

2425 Bisso Ln Ste 200
Concord, CA 94520-4886
Phone (925) 646-5468

Other practice location 3

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598-2669
Phone (925) 388-6384

Other practice location 4

1980 Allston Way Rm H-105
Berkeley, CA 94704-1463
Phone (510) 644-6965

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
117046CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy Training Program San Francisco PastSince Aug 1, 2020 Accepting new patients
Special Service for Groups, Inc. PastSince Aug 1, 2020 Accepting new patients

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1851880637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975",
            "fax_number": "415-551-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975",
            "fax_number": "415-551-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Divisadero St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172242",
            "country_code": "US",
            "telephone_number": "415-551-0975",
            "fax_number": "415-551-1763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Bisso Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204886",
            "country_code": "US",
            "telephone_number": "925-646-5468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3075 Citrus Cir Ste 165",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982669",
            "country_code": "US",
            "telephone_number": "925-388-6384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Allston Way Rm H-105",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041463",
            "country_code": "US",
            "telephone_number": "510-644-6965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODDER-HASTORF",
        "first_name": "NICHOLAS",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.