Organization Active NPI

Move Forward Psychology Consultation PC

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1932785565
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MOVE FORWARD PSYCHOLOGY CONSULTATION PC
Practice address
870 Market St Ste 357
San Francisco, CA 94102-3030
Phone
(415) 963-3536
Fax
(415) 963-3536
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Richard James Pomfret Jr., PSYD.
Title
President
Phone
(415) 963-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

870 Market St Ste 357
San Francisco, CA 94102-3030

Mailing address

PO Box 150333
San Rafael, CA 94915-0333
Phone (415) 963-3536

Other practice location 1

200 Tamal Plz Ste 235
Corte Madera, CA 94925-1070
Phone (415) 963-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210425000013 CA Part B Supplier - Clinic/Group Practice 4183032584 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

870 Market St
Ste 357
San Francisco, CA 94102
Phone (415) 529-0281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1932785565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150333",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949150333",
            "telephone_number": "415-963-3536",
            "fax_number": "415-963-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 357",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023030",
            "telephone_number": "415-963-3536",
            "fax_number": "415-963-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tamal Plz Ste 235",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251070",
            "country_code": "US",
            "telephone_number": "415-963-3536",
            "fax_number": "415-963-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVE FORWARD PSYCHOLOGY CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "POMFRET",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-963-3536",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.