SIMONE MADAN PHD
NPI 1205086865
Psychologist - Clinical in San Francisco, CA

Q: What is Simone Madan's NPI number?

The NPI number for Simone Madan is 1205086865. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Q: What is Simone Madan's specialty?

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

Q: Is Simone Madan enrolled in Medicare?

No. Simone Madan has opted out of Medicare through January 1, 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 Simone Madan was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 19, 2008Opted out of Medicare · through Jan 1, 2027

1701 DIVISADERO ST, 5TH FLOOR, SAN FRANCISCO, CA 94143(415) 353-7300 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Simone Madan Phd NPPES

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

SIMONE MADAN PHD (NPI 1205086865) is an individual clinical provider in San Francisco, California, licensed in California (PSY16433) and active in the NPI registry since September 2008. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1205086865

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSIMONE MADANCredential: PHD

Location Address1701 DIVISADERO ST, 5TH FLOORSan Francisco, CA 94143-1731

Mailing Address1701 Divisadero St, 5th FloorSan Francisco, CA 94143-1731 · (415) 353-7300

Phone(415) 353-7300

Sole ProprietorYes

Enumeration DateSeptember 19, 2008

✔ NPI 1205086865 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 · PSY16433

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.

1701 DIVISADERO ST, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Simone Madan Phd 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 January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

DR. CHRISTINE DOROTHY ZAMPACH D.P.T.

Specialist

1701 DIVISADERO ST, BOX 0625
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7598

UCSF MEDICAL GROUP BUSINESS SERVICES

Internal Medicine

1701 DIVISADERO ST
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7720

DR. LEAH S KARLINER MD

Internal Medicine

1701 DIVISADERO ST
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7300

JENNI R. JESPERSEN MA, ATC

Specialist/Technologist (Athletic Trainer)

1701 DIVISADERO ST, SUITE 420
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7966

DR. SUDHA PRATHIKANTI MD

Psychiatry & Neurology (Psychiatry)

1701 DIVISADERO ST
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7796

BARBARA NEWLIN RN, ANP

Nurse Practitioner (Adult Health)

1701 DIVISADERO ST, STE 559, 1732
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7983

DR. ERIN FORD-DIRKS MATHES ERIN MATHES

Dermatology

1701 DIVISADERO ST, 3RD FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7800

DR. ILONA FRIEDEN MD

Pediatrics

1701 DIVISADERO ST
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simone Madan's NPI number?

The NPI number for Simone Madan is 1205086865. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Simone Madan located?

Simone Madan practices at 1701 Divisadero St 5th Floor, San Francisco, CA 94143. The listed phone number is (415) 353-7300.

What is Simone Madan's specialty?

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

Is Simone Madan enrolled in Medicare?

No. Simone Madan has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Simone Madan was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.