Simone Madan
Psychologist (Clinical)

Address: 1701 Divisadero St, 5th Floor, San Francisco, CA 94143-1731
Phone: 4153537300

Simone Madan (NPI# 1205086865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205086865
Entity Type Individual
Full Name Simone Madan
Credential PHD
Gender Female
Practice Address 1701 Divisadero St
5th Floor
San Francisco
CA 94143-1731
Practice Telephone 4153537300
Mailing Address 1701 Divisadero St
5th Floor
San Francisco
CA 94143-1731
Mailing Telephone 4153537300
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-09-19
Last Update Date 2008-09-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers PSY16433 CA

Physician Overview

NPI 1205086865
PAC ID by PECOS 3274685532
Professional Enrollment ID I20111212000573
Full Name Simone K Madan
Organization Legal Name UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Phone Number 4154761000
Gender M
Graduation Year 1997
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 4486567229
Number of Group Practice Members 1108
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050454 UCSF MEDICAL CENTER

Office Location

Street Address 1701 DIVISADERO ST
5TH FLOOR
City SAN FRANCISCO
State CA
Zip Code 94143-1731

Providers in the same location

NPI Name Taxonomy Address Enumeration
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1942696950 Carina Woodruff Dermatology 1701 Divisadero St, 3rd Floor, San Francisco, CA 94115-3011 2015-04-07
1740675347 Dana Feigenbaum Dermatology 1701 Divisadero St, 3rd Floor, San Francisco, CA 94115-3011 2015-03-31
1659771939 Shanna Spring Specialist 1701 Divisadero St, San Francisco, CA 94115-3011 2014-08-24
1295148773 Jenna Lester Dermatology 1701 Divisadero St, San Francisco, CA 94115-3011 2014-06-03
1457799439 Yiyin Erin Chen Dermatology 1701 Divisadero St, San Francisco, CA 94115-3011 2013-06-12
1982040804 Aditi Murthy Pediatrics 1701 Divisadero St, 3rd Floor, Box 0316, San Francisco, CA 94115-3011 2013-05-18
1336482827 Bahram Razani Dermatology 1701 Divisadero St, Ucsf Department of Dermatology, San Francisco, CA 94115-3011 2013-04-03
1962744029 Lauren Michelle Madigan Dermatology 1701 Divisadero St, San Francisco, CA 94115 2013-03-26
1417209107 Lisa Anderson Webber Registered Nurse 1701 Divisadero St, 3rd Floor, San Francisco, CA 94115-3011 2012-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831675065 Denise Pamela Chang Anesthesiology 513 Parnassus Ave ., S436, San Francisco, CA 94143 2018-07-11
1053803502 Portola Gardens LLC Assisted Living Facility 350 University Street, San Francisco, CA 94143 2018-05-31
1003304155 Sharon Chiang Student in an Organized Health Care Education/Training Program 505 Parnassus Ave, M798, San Francisco, CA 94143 2018-04-24
1700380938 Steven Garcia Student in an Organized Health Care Education/Training Program 500 Parnassus Avenue, Mu 320 West, San Francisco, CA 94143 2018-03-21
1194229583 Samuel Richard Schnittman Student in an Organized Health Care Education/Training Program 505 Parnassus Ave Rm M-1480, San Francisco, CA 94143 2018-03-20
1699279166 Masis Isikbay Student in an Organized Health Care Education/Training Program 513 Parnassus Ave, S321, Ucsf Department of Surgery, San Francisco, CA 94143 2018-03-20
1427552819 Destiny Roseman Student in an Organized Health Care Education/Training Program 505 Parnassus Avenue, Room M-987, San Francisco, CA 94143 2018-03-20
1366953259 Marjan Bazzazi Nurse Practitioner 505 Parnasus Avenue, San Francisco, CA 94143 2017-10-18
1609398288 Alexandra Kisilevsky Anesthesiology 500 Parnassus Ave. Millbery Union East, 4th Floor, San Francisco, CA 94143 2017-07-14
1558892950 Sebastian Rodriguez Student in an Organized Health Care Education/Training Program 505 Parnassus Ave., Rm.m-987, San Francisco, CA 94143 2017-03-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396201661 Derek Seder Psychologist 173 Beaver St, San Francisco, CA 94114-1516 2019-02-12
1518422161 Melanie Chinchilla Psychologist 2595 Mission St Ste 204, San Francisco, CA 94110-2573 2019-02-07
1528536877 Marnie Kagan Weston Psychologist 1300 25th Avenue, Suite 100, San Francisco, CA 94122 2018-11-05
1548737968 Nemra Simay Gokbayrak Psychologist 220 Sansome St, San Francisco, CA 94104-2321 2018-10-24
1104307792 Kip Therapy Licensed Clinical Social Worker, P.C. Psychologist 600 California, San Francisco, CA 94108 2018-08-22
1386134401 Stella Nova Psychology, Inc Psychologist 155 Montgomery St Ste 1200, San Francisco, CA 94104-4117 2018-05-14
1598268856 Tracy Lisa Larue Psychologist 1801 Bush St Ste 209, San Francisco, CA 94109-5297 2018-03-13
1528568268 Anya V Kogan Psychologist 870 Market St Ste 953, San Francisco, CA 94102-2912 2018-02-20
1558875351 Imme Karola Staeffler Psychologist 2443 Fillmore St # 236, San Francisco, CA 94115-1814 2017-12-01
1609389006 Jessica Mae Waldron Psychologist 2095 Van Ness Ave, San Francisco, CA 94109-3009 2017-11-08
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Competitor

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City SAN FRANCISCO
Zip Code 94143

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Dataset Information

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.

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