Individual provider Active NPI

Gina Pfeifle, PHD

  • Clinical Neuropsychologist
  • San Francisco, CA
National Provider Identifier
1912383886
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY25934 Issued in CA
Practice address
1825 Fourth Street, 6TH Floor, M-6395
UCSF BX 4054
San Francisco, CA 94143
Phone
(650) 614-0014
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY25934 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY25934 CA
Clinical Neuropsychologist 103G00000X PSY25934 CA Primary

Addresses

Primary practice location

1825 Fourth Street, 6TH Floor, M-6395
UCSF BX 4054
San Francisco, CA 94143

Mailing address

1825 Fourth Street, 6TH Floor, M-6395
UCSF Box 4054
San Fancisco, CA 94143

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

LicenseStateTypeSpecialty
PSY25934CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D. Abbey, PH.D., Psychologists, a.P.C. Clinical Neuropsychologist Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1912383886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FOURTH STREET, 6TH FLOOR, M-6395",
            "address_2": "UCSF BOX 4054",
            "city": "SAN FANCISCO",
            "state": "CA",
            "postal_code": "94143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOURTH STREET, 6TH FLOOR, M-6395",
            "address_2": "UCSF BX 4054",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "650-614-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFLE",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25934",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25934",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY25934",
            "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 Mar 19, 2020; 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.