Individual provider Active NPI

Richard James Pomfret Jr, PSY.D.

  • Counselor
  • San Francisco, CA
National Provider Identifier
1891914107
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
870 Market St Ste 357
San Francisco, CA 94102-3030
Phone
(415) 963-3536
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25848 CA
Counselor 101Y00000X Primary

Addresses

Primary practice location

870 Market St Ste 357
San Francisco, CA 94102-3030

Mailing address

PO Box 150333
San Rafael, CA 94915-0333
Phone (415) 963-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426001779 CA Practitioner - Clinical Psychologist 1052698222 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 Market St
Suite 817
San Francisco, CA 94102-2903
Phone (415) 963-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25848CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Forward Psychology Consultation PC Clinical CurrentSince Mar 2, 2021 Accepting new patients
Financial District Therapy Clinical PastSince Sep 1, 2013 Accepting new patients

Locations

870 Market St
Ste 357
San Francisco, CA 94102
Phone (415) 529-0281

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1891914107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150333",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949150333",
            "telephone_number": "415-963-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 357",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023030",
            "telephone_number": "415-963-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMFRET JR",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25848",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.