KENNETH I. GOTTLIEB, M.D. A PROFESSIONAL CORPORATION (NPI# 1710123112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710123112 |
| Entity Type | Organization |
| Organization Name | KENNETH I. GOTTLIEB, M.D. A PROFESSIONAL CORPORATION |
| Practice Address |
909 Hyde St Ste 430 San Francisco CA 94109-4846 |
| Practice Telephone | 4153462103 |
| Mailing Telephone | 4153462103 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | DR. KENNETH I GOTTLIEB (PRESIDENT) |
| Authorized Official Telephone | 4153462103 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G23013 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
909 HYDE ST STE 430 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-4846 |
| 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 | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326246885 | Loren Roth | Psychiatry & Neurology | 1001 Potrero Ave., Suite 7m, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110 | 2007-07-06 |
| 1669532404 | Jeffrey Lois Gould | Psychiatry & Neurology | 350 Parnassus Ave Ste 309, San Francisco, CA 94117-3608 | 2006-12-11 |
| 1942319918 | David Y Kan | Psychiatry & Neurology | 4150 Clement St # 116-f, San Francisco, CA 94121-1545 | 2006-08-30 |
| 1356361885 | Ari U. Etheridge | Psychiatry & Neurology | 982 Mission St, San Francisco, CA 94103-2911 | 2006-07-20 |
| 1417992801 | Hagop Hajian | Psychiatry & Neurology | 375 Woodside Ave, San Francisco, CA 94127-1221 | 2006-06-18 |
| 1245857283 | Jeffrey L. Gould M.d. Inc | Psychiatry & Neurology | 350 Parnassus Ave Ste 309, San Francisco, CA 94117-3608 | 2020-06-25 |
| 1306109053 | Vivek Datta | Psychiatry & Neurology | 401 Parnassus Ave, Box Plp-0984, San Francisco, CA 94143-2211 | 2012-06-18 |
| 1124156591 | Christopher Thomas Benitez | Psychiatry & Neurology | 887 Potrero Ave, San Francisco, CA 94110 | 2007-02-28 |
| 1366590838 | Stuart M Pickel Md A Professional Corporation | Psychiatry & Neurology | 909 Hyde Street, Suite 425, San Francisco, CA 94109-4846 | 2007-01-08 |
| 1154479624 | Stuart Michael Pickel | Psychiatry & Neurology | 909 Hyde Street, San Francisco, CA 94109-4846 | 2007-01-08 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
Please comment or provide details below to improve the information on KENNETH I. GOTTLIEB, M.D. A PROFESSIONAL CORPORATION.
| 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.