Individual provider Active NPI

Skye Simon Nashelsky

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1861657934
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89418 Issued in CA
Practice address
1385 Mission St
Suite 240
San Francisco, CA 94103-2623
Phone
(415) 864-4002
Fax
(415) 864-7093
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 89418 CA Primary

Addresses

Primary practice location

1385 Mission St
Suite 240
San Francisco, CA 94103-2623

Mailing address

112 7TH St Unit C
Santa Rosa, CA 95401-6203
Phone (707) 536-1502

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

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1861657934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 7TH ST UNIT C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016203",
            "telephone_number": "707-536-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 MISSION ST",
            "address_2": "SUITE 240",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032623",
            "telephone_number": "415-864-4002",
            "fax_number": "415-864-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHELSKY",
        "first_name": "SKYE",
        "middle_name": "SIMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89418",
            "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 Dec 4, 2018; 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.