AVITAL MALKA WOLF-PRUSAN
NPI 1457807232
Marriage & Family Therapist in San Francisco, CA

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
459 FULTON ST STE 106, SAN FRANCISCO, CA 94102(415) 658-5364 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avital Malka Wolf-prusan NPPES

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

AVITAL MALKA WOLF-PRUSAN (NPI 1457807232) is an individual marriage & family therapist in San Francisco, California, licensed in California (LMFT112841) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2015).

NPPES Registry Identity

NPI1457807232
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAVITAL MALKA WOLF-PRUSAN
Location Address459 FULTON ST STE 106San Francisco, CA 94102-4364
Mailing Address1392 11th AveSan Francisco, CA 94122-2205 · (415) 412-2747
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2015
Enumeration DateAugust 31, 2016
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1457807232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT112841
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
459 FULTON ST STE 106, San Francisco, CA 94102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Avital Malka Wolf-prusan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466928890
PECOS Enrollment IDI20260414002133
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 6

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

Marriage & Family Therapist
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102
Counselor (Mental Health)
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102
Social Worker (Clinical)
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102
Counselor (Mental Health)
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102
Psychologist
459 FULTON ST STE 106
SAN FRANCISCO, CA 94102

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 Avital Wolf-prusan's NPI number?

The NPI number for Avital Wolf-prusan is 1457807232. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Avital Wolf-prusan located?

Avital Wolf-prusan practices at 459 Fulton St Ste 106, San Francisco, CA 94102. The listed phone number is (415) 658-5364.

What is Avital Wolf-prusan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Avital Wolf-prusan enrolled in Medicare?

Yes. Avital Wolf-prusan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Avital Wolf-prusan was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.