Individual provider Active NPI

Bethany Joyce Phoenix, RN, CNS

  • Psychiatric/Mental Health Registered Nurse
  • San Francisco, CA
National Provider Identifier
1891832358
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
331209 Issued in CA
Practice address
3180 18TH St
Ste. 202
San Francisco, CA 94110-2043
Phone
(415) 502-5777
Fax
(415) 502-5764
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 331209 CA Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 1036 CA

Addresses

Primary practice location

3180 18TH St
Ste. 202
San Francisco, CA 94110-2043

Mailing address

2 Koret Way, Dept. of Community Health Systems
UCSF Box 0608
San Francisco, CA 94143-0608
Phone (415) 502-4407

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
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
331209CAMDPsychiatric/Mental Health Registered Nurse
1036CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891832358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KORET WAY, DEPT. OF COMMUNITY HEALTH SYSTEMS",
            "address_2": "UCSF BOX 0608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430608",
            "telephone_number": "415-502-4407",
            "fax_number": "415-476-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 18TH ST",
            "address_2": "STE. 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102043",
            "telephone_number": "415-502-5777",
            "fax_number": "415-502-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "BETHANY",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "331209",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "1036",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.