Individual provider Active NPI

Brian Daniel Gustman, PHD

  • Clinical Child & Adolescent Psychologist
  • San Francisco, CA
National Provider Identifier
1902421415
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY33397 Issued in CA
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

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PSY.0005139COMDPsychologist
PSY33397CAMDCognitive & Behavioral Psychologist
CTC-200059350CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Know Now Psychological Services, PC Cognitive & Behavioral CurrentSince May 28, 2023 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.

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.

Verify at the official NPI Registry.