DR. ALLISON L BROENNIMANN PH.D.
NPI 1427366210
Psychologist in San Francisco, CA

Active since September 15, 2010Opted out of Medicare · through Jan 1, 2028
1939 DIVISADERO ST, SUITE 1-C, SAN FRANCISCO, CA 94115(888) 667-4828(855) 748-9025 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Allison L Broennimann Ph.d. NPPES

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

DR. ALLISON L BROENNIMANN PH.D. (NPI 1427366210) is an individual psychologist in San Francisco, California and active in the NPI registry since September 2010. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427366210
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALLISON L BROENNIMANNCredential: PH.D.
Location Address1939 DIVISADERO ST, SUITE 1-CSan Francisco, CA 94115-2507
Mailing AddressPo Box 2451Novato, CA 94948-2451 · (888) 667-4828
Fax(855) 748-9025
Sole ProprietorYes
Enumeration DateSeptember 15, 2010
Last NPPES UpdateAugust 27, 2012
NPI 1427366210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1939 DIVISADERO ST, San Francisco, CA 94115

Other Identifiers 1

OtherPSY24463CA · California Board Of Psychology

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. Allison L Broennimann 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 January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1939 DIVISADERO ST, SUITE 4C
SAN FRANCISCO, CA 94115
Specialist
1939 DIVISADERO ST, SUITE 3
SAN FRANCISCO, CA 94115
Psychologist (Clinical)
1939 DIVISADERO ST, 5 B
SAN FRANCISCO, CA 94115
Marriage & Family Therapist
1939 DIVISADERO ST, SUITE 1
SAN FRANCISCO, CA 94115
Psychologist (Clinical)
1939 DIVISADERO ST, SUITE 1
SAN FRANCISCO, CA 94115
Psychologist
1939 DIVISADERO ST, SUITE 4
SAN FRANCISCO, CA 94115
Psychologist (Clinical)
1939 DIVISADERO ST
SAN FRANCISCO, CA 94115
Marriage & Family Therapist
1939 DIVISADERO ST
SAN FRANCISCO, CA 94115

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 Allison Broennimann's NPI number?

The NPI number for Allison Broennimann is 1427366210. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Allison Broennimann located?

Allison Broennimann practices at 1939 Divisadero St Suite 1-C, San Francisco, CA 94115. The listed phone number is (888) 667-4828.

What is Allison Broennimann's specialty?

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

Is Allison Broennimann enrolled in Medicare?

No. Allison Broennimann has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allison Broennimann was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.