Active NPI
Marshall Bush, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1942551585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY3349
- Practice address
- 9 Funston Ave
San Francisco, CA 94129-1110 - Phone
- (415) 561-6775
- NPI assigned
- Sep 22, 2012
- Sex
- Male
- 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 | PSY3349 | CA | Primary |
Addresses
Primary practice location
9 Funston Ave
San Francisco, CA 94129-1110
Mailing address
114 Windsor Ave
San Rafael, CA 94901-1054
Phone (415) 561-6775
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY3349 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1942551585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WINDSOR AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949011054",
"telephone_number": "415-561-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FUNSTON AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941291110",
"telephone_number": "415-561-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "MARSHALL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-22",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY3349",
"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 Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.