Individual provider Active NPI

Christopher George Westergaard Jr., LCSW

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1902914120
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9296 Issued in CA
Practice address
377 Douglass St
San Francisco, CA 94114-2432
Phone
(415) 864-1754
NPI assigned
Aug 28, 2006
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9296 CA Primary

Addresses

Primary practice location

377 Douglass St
San Francisco, CA 94114-2432

Mailing address

377 Douglass St
San Francisco, CA 94114-2432
Phone (415) 864-1754

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9296CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1902914120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 DOUGLASS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142432",
            "telephone_number": "415-864-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 DOUGLASS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142432",
            "telephone_number": "415-864-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERGAARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "9296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 13, 2008; 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.