| Dr. Nicole Mayeda, A Psychological Corporation | |
|
22 Battery St. Suite 426 San Francisco CA 94111-5542 | |
| (415) 735-0029 | |
| Not Available |
| Full Name | Dr. Nicole Mayeda, A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 22 Battery St., San Francisco, California |
| Authorized Official Name and Position | Nicole Mayeda (OWNER) |
| Authorized Official Contact | 4157350029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nicole Mayeda, A Psychological Corporation 3407 S Corbett Ave Portland OR 97239-4621 Ph: (415) 735-0029 | Dr. Nicole Mayeda, A Psychological Corporation 22 Battery St. Suite 426 San Francisco CA 94111-5542 Ph: (415) 735-0029 |
| NPI Number | 1992330518 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 2961831052 |
|---|---|
| Medicare Enrollment ID | O20200413001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992330518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole Mayeda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619292729 PECOS PAC ID: 2769608454 Enrollment ID: I20140801002302 |
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