Dr. Nicole Mayeda, a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. NICOLE MAYEDA, A PSYCHOLOGICAL CORPORATION

Practice address

22 Battery St.
Suite 426
San Francisco, CA 94111-5542

Phone

(415) 735-0029

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Mayeda, PSY.D.

Title

Owner

Phone

(415) 735-0029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1992330518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394621",
            "telephone_number": "415-735-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BATTERY ST.",
            "address_2": "SUITE 426",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115542",
            "telephone_number": "415-735-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICOLE MAYEDA, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "MAYEDA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-735-0029",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.