Organization Active NPI

Cerebella: the Practice LLC

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1902528565
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address daniel@cerebella.org Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.