DR. NICOLE RIDOUT


Address: 300 Brannan St, Suite 204, San Francisco, CA 94107-1845
Phone: 4156898933

DR. NICOLE RIDOUT (NPI# 1063654226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063654226
Entity Type Individual
Full Name DR. NICOLE RIDOUT
Credential PSY.D.
Practice Address 300 Brannan St
Suite 204
San Francisco
CA 94107-1845
Practice Telephone 4156898933
Mailing Telephone 4156898933
Enumeration Date 2009-04-01
Last Update Date 2015-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
26431 CA Behavioral Health & Social Service Providers

Other Providers NICOLE RIDOUT

NPI Name Taxonomy Address Enumeration
1588896252 Nicole L. Ridout Physical Therapist 1317 3rd Ave, 6th Fl, New York, NY 10021-2995 2009-08-14

Office Location

Street Address 300 BRANNAN ST
SUITE 204
City SAN FRANCISCO
State CA
Zip Code 94107-1845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245331545 Robert David Schenck Psychologist 300 Brannan St, Ste 204, San Francisco, CA 94107-1870 2006-09-26

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1346767357 Brittani A Toy Technician, Other 795 Folsom St. 1st Floor, San Francisco, CA 94107 2017-08-29
1942746276 Marija Colic Behavioral Analyst 795 Folsom Street, San Francisco, CA 94107 2017-01-10
1861840340 Calvin Shapses Internal Medicine 730 Harrison Street, Suite 100, San Francisco, CA 94107 2016-05-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City SAN FRANCISCO
Zip Code 94107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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