Active NPI
Brian Daniel Gustman, PHD
- Clinical Child & Adolescent Psychologist
- San Francisco, CA
National Provider Identifier
1902421415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY33397
- Practice address
- 399 Laurel St Ste 9
San Francisco, CA 94118-1952 - Phone
- (720) 593-1323
- NPI assigned
- Jun 10, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005139 | CO | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY33397 | CA | |
| School Psychologist | 103TS0200X | CTC-200059350 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY33397 | CA | Primary |
Addresses
Primary practice location
399 Laurel St Ste 9
San Francisco, CA 94118-1952
Mailing address
399 Laurel St Ste 9
San Francisco, CA 94118-1952
Phone (415) 295-5537
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gustman@knownowpc.com |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005139 | CO | MD | Psychologist |
| PSY33397 | CA | MD | Cognitive & Behavioral Psychologist |
| CTC-200059350 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Know Now Psychological Services, PC | Cognitive & Behavioral | Current | Accepting new patients |
Locations
399 Laurel St
Ste 9
San Francisco, CA 94118
Phone (415) 295-5537
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.
-
- Cognitive & Behavioral Psychologist
- San Francisco, CA
- NPI 1609569672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1902421415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 LAUREL ST STE 9",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181952",
"telephone_number": "415-295-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 LAUREL ST STE 9",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181952",
"telephone_number": "720-593-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTMAN",
"first_name": "BRIAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005139",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY33397",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "CTC-200059350",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY33397",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gustman@knownowpc.com",
"affiliation": "N",
"endpointDescription": "HIPPA-compliant email",
"address_1": "399 Laurel St Ste 9",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941181952",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.