Active NPI
Move Forward Psychology Consultation PC
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1932785565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- San Francisco, CA
- NPI 1265916290
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.