Individual provider Active NPI

Jill Noreen Warburton, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1952450991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20773 Issued in CA
Practice address
2481 Clay St Ste 202B
San Francisco, CA 94115-1808
Phone
(415) 922-7793
Fax
(415) 826-5455
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20773 CA Primary

Addresses

Primary practice location

2481 Clay St Ste 202B
San Francisco, CA 94115-1808

Mailing address

411 Prentiss St
San Francisco, CA 94110-6142
Phone (415) 816-8603

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

State licenses

LicenseStateTypeSpecialty
PSY20773CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952450991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PRENTISS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941106142",
            "telephone_number": "415-816-8603",
            "fax_number": "415-826-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 CLAY ST STE 202B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151808",
            "telephone_number": "415-922-7793",
            "fax_number": "415-826-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBURTON",
        "first_name": "JILL",
        "middle_name": "NOREEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20773",
            "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 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.

Verify at the official NPI Registry.