DR. J PATRICK GANNON (NPI# 1790073880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790073880 |
| Entity Type | Individual |
| Full Name | DR. J PATRICK GANNON |
| Credential | PHD |
| Practice Address |
417 Spruce St San Francisco CA 94118-1711 |
| Practice Telephone | 4157518927 |
| Mailing Telephone | 4157518927 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7201 | CA | Behavioral Health & Social Service Providers |
| Street Address |
417 SPRUCE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94118-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516106 | Michael Litter | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2006-11-20 |
| 1295233765 | Michelle Gannon | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2018-01-30 |
| 1952714917 | Sheena Craig | Marriage & Family Therapist | 417 Spruce St, San Francisco, CA 94118-1711 | 2014-06-07 |
| 1982911889 | Barrie Yuspeh | Marriage & Family Therapist | 417 Spruce St, San Francisco, CA 94118-1711 | 2010-09-13 |
| 1598089302 | Maria Bucsela Sobol | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2010-03-23 |
| 1417196924 | Amy Lou Busch | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2009-02-08 |
| 1104024090 | Adrienne Elizabeth Amundsen | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2007-07-03 |
| 1841357431 | Joosiane V. Lismay | Psychologist | 417 Spruce St, San Francisco, CA 94118-1711 | 2007-01-02 |
| 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 | 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 | 94118 |
Please comment or provide details below to improve the information on DR. J PATRICK GANNON.
| 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.