Provider Type Icon

VERICARE OF CALIFORNIA MEDICAL GROUP NPI 1164475299


NPI Information

NPI: 1164475299
Provider Name: VERICARE OF CALIFORNIA MEDICAL GROUP

Doing Business As: VERICARE

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2707 PINE ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (800) 257-8715
Get Directions

VERICARE OF CALIFORNIA MEDICAL GROUP 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. VERICARE OF CALIFORNIA MEDICAL GROUP NPI is 1164475299. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vericare.

The provider's business location address is:

2707 PINE ST
SAN FRANCISCO, CA
ZIP 94115-522
Phone: (800) 257-8715
Fax: (800) 819-1655

The provider's authorized official is Melissa King .
The authorized official title is Director, Credentialing Enrollment and has the following contact phone number (800) 370-3651.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/11/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
5103TC0700XPsychologistClinicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GPS000150MEDICAIDCALIFORNIA
2ZZZ17204ZMEDICARE PINCALIFORNIA
3CC7816OTHERCALIFORNIARAILROAD MEDICARE

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

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.