MRS. ELISE GAGNON


Address: 4141 Geary Blvd, San Francisco, CA 94118-3109
Phone: 4158334935

MRS. ELISE GAGNON (NPI# 1356948533) 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) 1356948533
Entity Type Individual
Full Name MRS. ELISE GAGNON
Credential MS
Practice Address 4141 Geary Blvd
San Francisco
CA 94118-3109
Mailing Address 1819 Golden Gate Ave Apt 10
San Francisco
CA 94115-4339
Practice Telephone 4158334935
Mailing Telephone 9852851827
Enumeration Date 2020-10-01
Last Update Date 2020-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 4141 GEARY BLVD
City SAN FRANCISCO
State CA
Zip Code 94118-3109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467544031 Adam S Lee Pharmacist 4141 Geary Blvd, Suite #208, San Francisco, CA 94118-3109 2006-09-29
1841809902 Devin G Inabinet Audiologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2020-07-24
1568092088 Gregory Christopher Jackson Psychologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2020-01-23
1720634520 Jun He Psychologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2019-08-16
1780248302 Tiffany Nicole Loggins Psychologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2019-04-29
1164954350 Alan Yuen Pharmacist 4141 Geary Blvd, 1st Floor Pharmacy, San Francisco, CA 94118-3109 2017-03-28
1225579477 Robert Ramos Pharmacist 4141 Geary Blvd, San Francisco, CA 94118-3109 2017-03-20
1932649563 Runa Korde Psychologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2017-03-01
1063839462 Derek Robert Blechinger Internal Medicine 4141 Geary Blvd, San Francisco, CA 94118-3109 2014-03-24
1184970618 Tina K Dietz Psychologist 4141 Geary Blvd, San Francisco, CA 94118-3109 2012-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952933533 Emily Bonelli Padow Social Worker 699 Spruce Street, San Francisco, CA 94118 2020-02-11
1306489067 Sue Jennigs Hirsch Counselor 405 Clement Street Room 4, San Francisco, CA 94118 2019-10-24
1235795402 Sally Levy Albert Mft Marriage & Family Therapist 626 Balboa Street, San Francisco, CA 94118 2019-05-14
1750851382 Ka Yan Mary Fong Dds Inc Dentist 3121 Geary Blvd, San Francisco, CA 94118 2018-11-27
1871072728 Devin G Wu Acupuncturist 1014 Clement St, San Francisco, CA 94118 2018-08-11
1568952034 Toni Margot Brooks Marriage & Family Therapist 4831 Geary Blvd., San Francisco, CA 94118 2018-05-10
1053808733 Pamela Elizabeth Olton Acupuncturist 450 Connecticut Street, San Francisco, CA 94118 2018-04-18
1952801359 Justin Andrew Fotter Chiropractor 403 Arguello Blvd, Live Fit Gym, San Francisco, CA 94118 2018-02-13
1861926024 Chih-han Lee Student in an Organized Health Care Education/Training Program 2351 Clay Street., Suite 380, San Francisco, CA 94118 2017-04-14
1205372695 Allison Smith Physical Therapist 323 Masonic Ave, San Francisco, CA 94118 2017-01-10
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437623840 Mighty Minds Psychological Services, Inc. Psychologist 2088 Union St Ste 4, San Francisco, CA 94123-4117 2019-01-18
1720596265 Pascal Benjamin Levy Psychologist 2480 22nd Ave, San Francisco, CA 94116-2435 2018-01-18
1669865945 Newborn-solutions Psychologist 1627 Greenwich St, San Francisco, CA 94123-3601 2015-03-11
1649611005 William Martinez Psychologist 1001 Potrero Ave., 7m-cas, Ucsf/sfgh Department of Psychiatry, San Francisco, CA 94110 2013-07-15
1093068876 Sujin Sabrina Gabel Psychologist 600a Octavia St, San Francisco, CA 94102-4305 2012-10-18
1912230921 Erin Mullin Psychologist 1939 Divisadero St Ste 4a, San Francisco, CA 94115-2507 2009-09-09
1891949780 Lele Diamond Psychologist 393 Seventh Avenue Suite 302, Symbio Inc, San Francisco, CA 94118 2008-11-05
1659541720 Christine Zalecki Psychologist 401 Parnassus Ave Box 0984-cas, San Francisco, CA 94143-0984 2008-03-05
1225216724 Cristina M Benki Psychologist 1855 4th St, Rm A4519, Box 4012, San Francisco, CA 94158-2350 2008-02-06
1194915595 Julianna Deardorff Psychologist 625 Potrero Ave, San Francisco, CA 94110-2116 2007-07-31
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Competitor

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City SAN FRANCISCO
Zip Code 94118

Improve Information

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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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