Active NPI
Richard James Pomfret Jr, PSY.D.
- Counselor
- San Francisco, CA
National Provider Identifier
1891914107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25848 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Forward Psychology Consultation PC | Clinical | Current | Accepting new patients |
| Financial District Therapy | Clinical | Past | 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.
-
- Clinical Psychologist
- San Francisco, CA
- NPI 1932785565
-
- Clinical Psychologist
- San Francisco, CA
- NPI 1811357874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.