Active NPI
Cerebella: the Practice LLC
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1902528565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CEREBELLA: THE PRACTICE LLC
- Practice address
- 500 3Rd St Ste 510
San Francisco, CA 94107-6803 - Phone
- (617) 209-9707
- NPI assigned
- Sep 12, 2022
- Last updated
- Sep 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel S. Barron, MD PHD
- Title
- Physician
- Phone
- (617) 209-9707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X |
Addresses
Primary practice location
500 3Rd St Ste 510
San Francisco, CA 94107-6803
Mailing address
588 Boston Post Rd Ste 325
Weston, MA 02493-1535
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel@cerebella.org | Direct |
National Provider Directory
National Provider DirectoryLocations
500 3rd St
Ste 510
San Francisco, CA 94107
Phone (617) 209-9707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1902528565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 BOSTON POST RD STE 325",
"city": "WESTON",
"state": "MA",
"postal_code": "024931535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 3RD ST STE 510",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941076803",
"telephone_number": "617-209-9707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEREBELLA: THE PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "BARRON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "617-209-9707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel@cerebella.org",
"affiliation": "N",
"endpointDescription": "HIPAA-compliant email service",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "588 Boston Post Rd Ste 325",
"city": "Weston",
"state": "MA",
"country_code": "US",
"postal_code": "024931535",
"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 Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.