DR. EVELYN MICCIO (NPI# 1538220397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538220397 |
| Entity Type | Individual |
| Full Name | DR. EVELYN MICCIO |
| Credential | PSY.D. |
| Practice Address |
4141 Geary Blvd Fl 3 San Francisco CA 94118-3111 |
| Practice Telephone | 5107983311 |
| Mailing Telephone | 5107983311 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY18955 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4141 GEARY BLVD FL 3 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94118-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669409827 | Wei-li Hsu | Psychiatry & Neurology | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2006-06-26 |
| 1518399138 | Khashayar Farhadi Langroudi | Psychologist | 4141 Geary Blvd Fl 3, San Francisco, CA 94118 | 2013-08-06 |
| 1518218122 | Michal Weber | Clinical Neuropsychologist | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2012-09-21 |
| 1063723948 | Kaiser Permanente | Psychologist | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2010-06-25 |
| 1487805131 | Adrienne Anne Lovelund | Psychologist | 4141 Geary Blvd Fl 3, Kaiser Permanente, Dept. of Psychiatry, San Francisco, CA 94118-3111 | 2008-09-30 |
| 1578759809 | Patricia N. Dang | Psychologist | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2007-09-20 |
| 1760675458 | Victoria Meraz | Counselor | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2007-08-25 |
| 1891905345 | Gary Huang | Psychiatry & Neurology | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2007-05-23 |
| 1275667222 | Kathleen Ongbongan Hardisty | Social Worker | 4141 Geary Blvd Fl 3, San Francisco, CA 94118 | 2007-03-14 |
| 1902943681 | Lynne Alison Mcinnes | Psychiatry & Neurology | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2007-01-31 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94118 | ||||
| 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 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94118 |
Please comment or provide details below to improve the information on DR. EVELYN MICCIO.
| 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.