Active NPI
Edith Thomsen, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1912128570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 21416
- Practice address
- 401 43Rd Ave
# 204
San Francisco, CA 94121-1562 - Phone
- (415) 336-1176
- Fax
- (415) 751-3310
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 21416 | CA | Primary |
Addresses
Primary practice location
401 43Rd Ave
# 204
San Francisco, CA 94121-1562
Mailing address
401 43Rd Ave
# 204
San Francisco, CA 94121-1562
Phone (415) 336-1176
Other names 1
- Dr. Ede Thomsen
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21416 | CA | MD | Clinical Psychologist |
| 21416 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Clinical Group, a Psychology Corporation | Clinical | Past | Accepting new patients |
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": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912128570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 43RD AVE",
"address_2": "# 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211562",
"telephone_number": "415-336-1176",
"fax_number": "415-751-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 43RD AVE",
"address_2": "# 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211562",
"telephone_number": "415-336-1176",
"fax_number": "415-751-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "EDITH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDE",
"last_name": "THOMSEN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.