Active NPI
Andrew E. Damian
- Health Psychologist
- Hayward, CA
National Provider Identifier
1891120002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PSY31556
- Practice address
- 24301 Southland Dr Ste 200
Hayward, CA 94545-1541 - Phone
- (510) 342-5721
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | F4744951 | CA | |
| Clinical Psychologist | 103TC0700X | PSY31556 | CA | |
| Health Psychologist | 103TH0004X | PSY31556 | CA | Primary |
Addresses
Primary practice location
24301 Southland Dr Ste 200
Hayward, CA 94545-1541
Mailing address
3440 25TH St Apt 304
San Francisco, CA 94110-3857
Phone (708) 724-2291
Other practice location 1
101 Broadway
Richmond, CA 94804-1945
Phone (510) 235-1516
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
| License | State | Type | Specialty |
|---|---|---|---|
| F4744951 | CA | MD | Counselor |
| PSY31556 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Mind Psychology LTD | Current | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- San Francisco, CA
- NPI 1255952313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1891120002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 25TH ST APT 304",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103857",
"telephone_number": "708-724-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR STE 200",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451541",
"telephone_number": "510-342-5721"
}
],
"practiceLocations": [
{
"address_1": "101 Broadway",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948041945",
"country_code": "US",
"telephone_number": "510-235-1516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMIAN",
"first_name": "ANDREW",
"middle_name": "E.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "F4744951",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31556",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY31556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.