AMANDA WAGSTAFF PH.D.
NPI 1417476557
Psychologist in San Francisco, CA

Active since September 10, 2017PECOS Enrolled
1825 4TH ST FL 5, SAN FRANCISCO, CA 94143(805) 558-0601 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Wagstaff Ph.d. NPPES

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

AMANDA WAGSTAFF PH.D. (NPI 1417476557) is an individual psychologist in San Francisco, California, licensed in California (30640) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1417476557
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA WAGSTAFFCredential: PH.D.
Location Address1825 4TH ST FL 5San Francisco, CA 94143-2350
Mailing Address1825 4th St # 5aSan Francisco, CA 94143-2350 · (415) 502-1914 · Fax (415) 353-2400
Sole ProprietorNo
Enumeration DateSeptember 10, 2017
Last NPPES UpdateMay 21, 2019
NPI 1417476557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 30640
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1825 4TH ST FL 5, San Francisco, CA 94143

Secondary Practice Location 1

Location 11001 Potrero AveSan Francisco, CA 94110-3518 · Phone (415) 206-5270

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Wagstaff Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Clinic/Center
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Nurse Practitioner (Acute Care)
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Pediatrics
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Audiologist
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Dentist (General Practice)
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Neurology)
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143
Social Worker (Clinical)
1825 4TH ST FL 5
SAN FRANCISCO, CA 94143

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 Amanda Wagstaff's NPI number?

The NPI number for Amanda Wagstaff is 1417476557. It was assigned to this individual provider in the NPPES registry on September 10, 2017.

Where is Amanda Wagstaff located?

Amanda Wagstaff practices at 1825 4th St Fl 5, San Francisco, CA 94143. The listed phone number is (805) 558-0601.

What is Amanda Wagstaff's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Wagstaff enrolled in Medicare?

Yes. Amanda Wagstaff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Wagstaff was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.