MARK E CLAYCOMB (NPI# 1790791796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790791796 |
| Entity Type | Individual |
| Full Name | MARK E CLAYCOMB |
| Credential | LCSW |
| Practice Address |
55 New Montgomery St #420 San Francisco CA 94105 |
| Practice Telephone | 4155227400 |
| Practice Fax Number | 4455431932 |
| Mailing Telephone | 4155227400 |
| Mailing Fax Number | 4455431932 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LCS135532 | CA | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | LCS13553 | CA | Behavioral Health & Social Service Providers |
| Street Address |
55 NEW MONTGOMERY ST #420 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285665372 | Peter Paul Lewandowski | Chiropractor | 55 New Montgomery St, Mezzanine Level, San Francisco, CA 94105-3412 | 2006-07-06 |
| 1952839334 | Katrina Roundfield | Psychologist | 55 New Montgomery St, San Francisco, CA 94105-3412 | 2017-05-30 |
| 1043608227 | San Francisco Stress and Anxiety Center | Psychologist | 55 New Montgomery St, Suite 512, San Francisco, CA 94105-3412 | 2014-12-22 |
| 1407274640 | Ellen L. Marino | Marriage & Family Therapist | 55 New Montgomery St, Suite 303, San Francisco, CA 94105-3412 | 2014-04-04 |
| 1205115185 | Adam Blum | Psychologist | 55 New Montgomery St, Suite 506, San Francisco, CA 94105-3412 | 2011-08-10 |
| 1134420409 | Catherine Christy Corcoran | Psychologist | 55 New Montgomery St, Ste 420, San Francisco, CA 94105-3429 | 2010-11-03 |
| 1417272154 | Megan Stein | Psychologist | 55 New Montgomery St, Suite 305, San Francisco, CA 94105-3412 | 2010-04-06 |
| 1285958157 | Vanessa Beth Tate | Marriage & Family Therapist | 55 New Montgomery St, Suite 804, San Francisco, CA 94105-3412 | 2010-03-22 |
| 1083947469 | Jonathan David Horowitz | Psychologist | 55 New Montgomery St, Suite 512, San Francisco, CA 94105-3412 | 2009-09-16 |
| 1487987129 | Betty Michaud | Marriage & Family Therapist | 55 New Montgomery St, Suite 316, San Francisco, CA 94105-3412 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1811524754 | Brightside Medical of New Jersey, P.C. | Psychiatry & Neurology | 156 2nd Street, San Francisco, CA 94105 | 2020-03-23 |
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1114399730 | Kendrix Nguyen | Pharmacist | 50 Beale Street 12th Floor, Pharmacy Department, San Francisco, CA 94105 | 2015-10-22 |
| 1003233842 | Bradley James Bailey | Chiropractor | 605 Market St Ste 1250, San Francisco, CA 94105 | 2014-03-18 |
| 1497189013 | Kiyoka Hansen | Optometrist | 100 1st St #145, San Francisco, CA 94105 | 2013-08-30 |
| 1720337306 | Pauli Amornkul | Family Medicine | 50 Beale Street, Suite 1300, Iavi-caps, San Francisco, CA 94105 | 2012-08-29 |
| 1265753974 | Nicholas Cohen | Family Medicine | 333 1st St Ste A, San Francisco, CA 94105 | 2010-06-16 |
| 1629303706 | Sarah Gertler Schaaf | Emergency Medicine | 55 2nd St, San Francisco, CA 94105 | 2009-10-07 |
| 1578712105 | Sand C Chang | Psychologist | 625 Market St Fl 15, San Francisco, CA 94105 | 2008-09-18 |
| Find all providers in zip 94105 | ||||
| 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 | 94105 |
Please comment or provide details below to improve the information on MARK E CLAYCOMB.
| 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.