DR. SAMUEL GERSON PH.D. - NPI 1073024832 - Psychologist in San Francisco, CA

Q: What is Samuel Gerson's NPI number?

The NPI number for Samuel Gerson is 1073024832. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Q: What is Samuel Gerson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Samuel Gerson enrolled in Medicare?

No. Samuel Gerson has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samuel Gerson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Samuel Gerson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL GERSON PH.D. (NPI 1073024832) is an individual clinical provider in San Francisco, California, licensed in California (PSY8786) and active in the NPI registry since October 2017. He has opted out of Medicare through October 27, 2027 and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1073024832

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMUEL GERSONCredential: PH.D.

Location Address2252 FILLMORE STSan Francisco, CA 94115-2299

Mailing Address2252 Fillmore StSan Francisco, CA 94115-2299 · (510) 654-4525

Phone(510) 654-4525

Sole ProprietorYes

Enumeration DateOctober 19, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1073024832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY8786

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.

2252 FILLMORE ST, San Francisco, CA 94115

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Secondary Practice Location 1

Location 15625 College Ave Ste 213Oakland, CA 94618-1585 · Phone (510) 654-4525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Samuel Gerson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2021 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2021

Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES E. BRANDES PH.D.

Psychologist (Clinical)

2252 FILLMORE ST, STE 402
SAN FRANCISCO, CA 94115

San Francisco County (415) 922-5632

DR. CHARLES JOSEPH SPEZZANO PH.D.

Psychoanalyst