DR. SHELLEY PEERY (NPI# 1215056460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215056460 |
Entity Type | Individual |
Full Name | DR. SHELLEY PEERY |
Credential | PHD |
Practice Address |
1199 Bush St Suite 350 San Francisco CA 94109-5999 |
Mailing Address |
350 Sansome St Suite 1000 San Francisco CA 94104-1304 |
Practice Telephone | 4152186915 |
Practice Fax Number | 4155616759 |
Mailing Telephone | 4152186915 |
Mailing Fax Number | 4155616759 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 21904 | CA | Behavioral Health & Social Service Providers |
N | 103G00000X | Clinical Neuropsychologist | 016257 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | PSYCHOLOGY LICENSE | 016257 | 01 |
CA | PSYCHOLOGY LICENSE | 21904 | 01 |
Street Address |
1199 BUSH ST SUITE 350 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94109-5999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548232556 | Clyde J Ikeda | Plastic Surgery | 1199 Bush St, Ste 640, San Francisco, CA 94109 | 2006-02-03 |
1235490061 | Nicholas H. Mast, M.d., Inc. | Orthopaedic Surgery | 1199 Bush St, 300, San Francisco, CA 94109-5999 | 2012-06-07 |
1396030482 | Robert Purchase Md Inc. | Orthopaedic Surgery | 1199 Bush St, #200, San Francisco, CA 94109-5999 | 2011-06-16 |
1407147549 | Man-kit Leung, M.d., Inc. | Otolaryngology | 1199 Bush St, Suite 620, San Francisco, CA 94109-5999 | 2011-04-24 |
1154634756 | Robert A. Harvey, Md, Apc | Plastic Surgery | 1199 Bush St, Suite 690, San Francisco, CA 94109-5999 | 2010-07-23 |
1942532072 | Hannah Rose Wright | Physician Assistant | 1199 Bush St, Suite 500, San Francisco, CA 94109-5999 | 2010-01-29 |
1053578161 | Hoyman Hong, Md A Prof Med Corp | Physical Medicine & Rehabilitation | 1199 Bush St, 300, San Francisco, CA 94109-5999 | 2008-05-19 |
1497943641 | Hedi Frances Karnofel | Physical Therapist | 1199 Bush St, Ste 650, San Francisco, CA 94109-5999 | 2007-10-11 |
1962690115 | Yvette Veronique Fawzi | Physical Therapist | 1199 Bush St, Ste 650, San Francisco, CA 94109-5999 | 2007-10-11 |
1750596326 | Robert John Purchase | Orthopaedic Surgery | 1199 Bush St, #200, San Francisco, CA 94109-5999 | 2007-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
Find all providers in zip 94109 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447800842 | Lainie Falco Posecion | Clinical Neuropsychologist | 1340 Taylor St Apt 6, San Francisco, CA 94108-1033 | 2019-09-17 |
1174909824 | Ronald H Roberts | Clinical Neuropsychologist | 2000 Van Ness Ave Ste 512, San Francisco, CA 94109-3017 | 2015-08-05 |
1912383886 | Gina Pfeifle | Clinical Neuropsychologist | 1825 Fourth Street, 6th Floor, M-6395, Ucsf Bx 4054, San Francisco, CA 94143 | 2015-08-03 |
1912293168 | Lisa Sporri | Clinical Neuropsychologist | 912 Cole St # 275, San Francisco, CA 94117-4316 | 2011-06-27 |
1376847293 | Ricardo Winkel | Clinical Neuropsychologist | 101 California St Ste 2450, San Francisco, CA 94111-6102 | 2011-01-06 |
1023318540 | Helen Chen | Clinical Neuropsychologist | 909 Hyde St Ste 620, San Francisco, CA 94109-4847 | 2010-11-01 |
1669789194 | Nicole Lara Sucre | Clinical Neuropsychologist | 1700 Pierce St Ste 103, San Francisco, CA 94115-3187 | 2010-09-03 |
1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
1861632408 | Nataliya Belfor | Clinical Neuropsychologist | 2299 Post St Ste 307, San Francisco, CA 94115-3441 | 2009-02-23 |
1295971984 | Amanda Gregory | Clinical Neuropsychologist | 3644 Market St, San Francisco, CA 94131-1339 | 2008-12-30 |
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City | SAN FRANCISCO |
Zip Code | 94109 |
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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.