NICHOLAS HODDER-HASTORF (NPI# 1851880637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851880637 |
| Entity Type | Individual |
| Full Name | NICHOLAS HODDER-HASTORF |
| Credential | AMFT |
| Practice Address |
425 Divisadero St Ste 300 San Francisco CA 94117-2242 |
| Practice Telephone | 4155510975 |
| Practice Fax Number | 4155511763 |
| Mailing Telephone | 4155510975 |
| Mailing Fax Number | 4155511763 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| Y | 106H00000X | Marriage & Family Therapist | 117046 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1980 Allston Way Rm H-105, Berkeley, CA 947041463 | 5106446965 | |
| 2425 Bisso Ln Ste 200, Concord, CA 945204886 | 9256465468 | |
| 3075 Citrus Cir Ste 165, Walnut Creek, CA 945982669 | 9253886384 |
| Street Address |
425 DIVISADERO ST STE 300 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397211 | Mariya Gertsvolf | Social Worker | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2008-02-09 |
| 1447859707 | Marissa Setencich | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-10-19 |
| 1871100487 | Gina Eleni Frassetto | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-09-28 |
| 1952918567 | James Gerard Servais Jr. | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-09-28 |
| 1023622636 | Hannah Mcleod Phillips | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-09-01 |
| 1386256261 | Giovanna Lopez | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-08-20 |
| 1831700699 | Ellen Azevedo | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-08-13 |
| 1982221008 | Aida Buderi | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-07-06 |
| 1720605496 | Melissa Nazzal | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-06-29 |
| 1386275428 | Rose Marie Borillo | Counselor | 425 Divisadero St Ste 300, San Francisco, CA 94117-2242 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
| 1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
| 1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
| 1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
| 1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1053925404 | Alison Suzette Poff | Marriage & Family Therapist | 245 11th St Ste 1, San Francisco, CA 94103-3732 | 2020-09-02 |
| 1154935930 | Jasmin Paula Littlefield | Marriage & Family Therapist | 555 Cole St Ste 6, San Francisco, CA 94117-2860 | 2020-08-31 |
| 1619589447 | Rima Sueishi Miyagawa | Marriage & Family Therapist | 447 Sutter St Ste 429, San Francisco, CA 94108-4630 | 2020-08-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on NICHOLAS HODDER-HASTORF.
| 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.