AMANDA WAGSTAFF (NPI# 1417476557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417476557 |
| Entity Type | Individual |
| Full Name | AMANDA WAGSTAFF |
| Credential | PH.D. |
| Practice Address |
1825 4th St Fl 5 San Francisco CA 94143-2350 |
| Mailing Address |
1825 4th St # 5a San Francisco CA 94143-2350 |
| Practice Telephone | 8055580601 |
| Mailing Telephone | 4155021914 |
| Mailing Fax Number | 4153532400 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30640 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Potrero Ave, San Francisco, CA 941103518 | 4152065270 |
| Street Address |
1825 4TH ST FL 5 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497051064 | Alexandra Cram Ross | Counselor | 1825 4th St Fl 5, San Francisco, CA 94143-2350 | 2011-01-31 |
| 1760978795 | Kimberly Luu | Otolaryngology | 1825 4th St Fl 5, San Francisco, CA 94143-2350 | 2018-07-02 |
| 1184141012 | Samantha Lee Irwin | Psychiatry & Neurology | 1825 4th St Fl 5, San Francisco, CA 94143-2350 | 2017-08-22 |
| 1437522737 | Ucsf Pediatric Dentistry | Dentist | 1825 4th St Fl 5, Box 4072, San Francisco, CA 94158-2350 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| 1336758291 | Kelsey Thompson Laird | Psychologist | 1875 Church St, San Francisco, CA 94131-2712 | 2020-07-27 |
| 1265050595 | Vida Family Therapy PC | Psychologist | 100 Montgomery St Ste 750, San Francisco, CA 94104-4302 | 2020-07-13 |
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1427686831 | Laura Straus | Psychologist | 4150 Clement St # 116p, San Francisco, CA 94121-1563 | 2020-03-31 |
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1063044535 | Grace Jebara Marriage Therapy Inc | Psychologist | 2169 Union St # 3, San Francisco, CA 94123-4003 | 2020-02-12 |
| 1477190577 | Brittany Linton | Psychologist | 930 Sutter St Apt 402, San Francisco, CA 94109-6095 | 2019-12-08 |
| 1417508748 | Julian Samuel Farzan-kashani | Psychologist | 625 Market St Ste 510, San Francisco, CA 94105-3302 | 2019-09-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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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.