DIANA SAMARDZIC (NPI# 1336350651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336350651 |
| Entity Type | Individual |
| Full Name | DIANA SAMARDZIC |
| Practice Address |
2441 Jackson St San Francisco CA 94115-1324 |
| Practice Telephone | 4153466380 |
| Practice Fax Number | 4153461058 |
| Mailing Telephone | 4153466380 |
| Mailing Fax Number | 4153461058 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
24759 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2441 JACKSON ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598840605 | Tom Genelli | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2006-10-26 |
| 1154922680 | Daphne Beng Hui Ong | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2020-11-02 |
| 1932612041 | Sam Yu | Case Manager/Care Coordinator | 2441 Jackson St, San Francisco, CA 94115-1324 | 2017-11-10 |
| 1326413543 | Elizabeth Pettit | Marriage & Family Therapist | 2441 Jackson St, San Francisco, CA 94115-1324 | 2015-12-14 |
| 1043443120 | Trisha T Nguyen | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2009-08-24 |
| 1356571699 | Wendi Wachsmuth | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2009-07-21 |
| 1578702064 | Shannon Crystal Amber Tilston | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2009-02-06 |
| 1336397215 | Robert Edward Tien Ming Hsia | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2008-09-03 |
| 1508055617 | Toi Sin Yau | Counselor | 2441 Jackson St, San Francisco, CA 94115-1324 | 2007-10-15 |
| 1588860977 | Conard House Jackson Street Residential Program | Psychiatric Residential Treatment Facility | 2441 Jackson St, San Francisco, CA 94115-1324 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1295359438 | Robin Ruth | Psychologist | 2443 Fillmore St # 380-7876, San Francisco, CA 94115-1814 | 2020-06-03 |
| 1861020588 | Emma Salzman | Psychologist | 401 Parnassus Ave Rm 111, San Francisco, CA 94143-0984 | 2020-03-29 |
| 1992330518 | Dr. Nicole Mayeda, A Psychological Corporation | Psychologist | 22 Battery St., Suite 426, San Francisco, CA 94111-5542 | 2020-03-04 |
| 1699308726 | Kumar Therapy, A Psychological Corporation | Psychologist | 582 Market St Ste 1210, San Francisco, CA 94104-5313 | 2020-02-17 |
| 1619516010 | Zenobia New Grusky | Psychologist | 255 Jersey St, San Francisco, CA 94114-3822 | 2020-01-02 |
| 1629614144 | Larisa Beckwith | Psychologist | 764 Faxon Ave, San Francisco, CA 94112-1204 | 2019-11-19 |
| 1093360752 | Era A Loewenstein | Psychologist | 4317a 23rd St, San Francisco, CA 94114-3111 | 2019-08-08 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1144881467 | Julie London | Psychologist | 2309 Noriega St # 302, San Francisco, CA 94122-4239 | 2019-06-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on DIANA SAMARDZIC.
| 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.