DR. MIRIAM MEDLIN ANDRADE PSY.D NPI 1073684684

NPI Information

NPI: 1073684684
Provider Name: DR. MIRIAM MEDLIN ANDRADE, PSY.D
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1421 BRODERICK ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 292-1760
Get Directions

DR. Miriam Medlin Andrade, PSY.D is a clinical psychologist in San Francisco, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Miriam Medlin Andrade, PSY.D NPI is 1073684684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1421 BRODERICK ST
SAN FRANCISCO, CA
ZIP 94115-304
Phone: (415) 292-1760

The enumeration date for this NPI number is 11/13/2006 and was last updated on 5/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		RPS2006016	CALIFORNIA	No
2	103TC0700X	Psychologist	Clinical	PSY23089	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9555	OTHER	CALIFORNIA	SF CLINICIAN BILLING ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »