Individual provider Active NPI

Melissa Sheryl Brie

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1902233422
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31285 Issued in CA
Practice address
1001 Potrero Ave Dept of
San Francisco, CA 94110-3518
Phone
(628) 206-5236
NPI assigned
Sep 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY31285 CA Primary

Addresses

Primary practice location

1001 Potrero Ave Dept of
San Francisco, CA 94110-3518

Mailing address

2728 Durant Ave
Berkeley, CA 94704-1725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20200729002004 CA Practitioner - Clinical Psychologist 4385069053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31285CAMDClinical Psychologist
31285CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jul 10, 2020 Accepting new patients
City and County of San Francisco CurrentSince Jul 10, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 16, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 16, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 16, 2020 Accepting new patients
Wright Institute Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
Ste A808A
San Francisco, CA 94143

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1902233422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 DURANT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE DEPT OF",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIE",
        "first_name": "MELISSA",
        "middle_name": "SHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.