Individual provider Active NPI

Douglas Taylor Kasle, PH.D

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1962676361
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20824 Issued in CA
Practice address
1848 McAllister St
San Francisco, CA 94115-4321
Phone
(415) 846-6401
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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 20824 CA Primary

Addresses

Primary practice location

1848 McAllister St
San Francisco, CA 94115-4321

Mailing address

303 Potrero St
Unit 307
Santa Cruz, CA 95060-2741
Phone (415) 846-6401

Other names 1

  • Douglas Taylor Rothstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20824CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1962676361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 POTRERO ST",
            "address_2": "UNIT 307",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602741",
            "telephone_number": "415-846-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 MCALLISTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154321",
            "telephone_number": "415-846-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASLE",
        "first_name": "DOUGLAS",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "ROTHSTEIN",
            "middle_name": "TAYLOR",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.