DR. JUSTINE TIDEMAN (NPI# 1780733857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733857 |
| Entity Type | Individual |
| Full Name | DR. JUSTINE TIDEMAN |
| Credential | PSY.D. |
| Practice Address |
944 Market St Suite 510 San Francisco CA 94102-4000 |
| Practice Telephone | 4158899225 |
| Mailing Telephone | 4158899225 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19756 | CA | Behavioral Health & Social Service Providers |
| Street Address |
944 MARKET ST SUITE 510 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275598401 | Efren Fernando Hilera | Psychologist | 944 Market St, Suite 510, San Francisco, CA 94102-4000 | 2006-04-19 |
| 1619168382 | Philip Leo Colgan | Psychologist | 944 Market St, Suite 501, San Francisco, CA 94102-4000 | 2007-08-07 |
| 1174714273 | Arthur J Bosse Iv | Counselor | 944 Market St, Suite 300, San Francisco, CA 94102-4000 | 2007-08-05 |
| 1346430287 | National Council On Alcoholism and Other Drug Addictions Bay Area, Inc | Community/Behavioral Health | 944 Market St, 3rd Floor, San Francisco, CA 94102-4000 | 2007-07-26 |
| 1801906649 | Dennis Patrick Bohan | Marriage & Family Therapist | 944 Market St, 501, San Francisco, CA 94102-4000 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| 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 | 94102 |
Please comment or provide details below to improve the information on DR. JUSTINE TIDEMAN.
| 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.