DR. TIFFANI LEDEL POULSEN PSYD
NPI 1487991261
Psychologist - Clinical in San Mateo, CA

Active since January 13, 2013
316 S HUMBOLDT ST, SAN MATEO, CA 94401(650) 393-3134 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 12, 2017, Sep 12, 2016, Feb 8, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Tiffani Ledel Poulsen Psyd NPPES

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

DR. TIFFANI LEDEL POULSEN PSYD (NPI 1487991261) is an individual clinical provider in San Mateo, California, licensed in California (PSY22864) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1487991261
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TIFFANI LEDEL POULSENCredential: PSYD
Location Address316 S HUMBOLDT STSan Mateo, CA 94401-3338
Mailing Address316 S Humboldt StSan Mateo, CA 94401-3338 · (650) 393-3134
Sole ProprietorYes
Enumeration DateJanuary 13, 2013
Last NPPES UpdateJuly 12, 20174 updates tracked since enumeration
NPI 1487991261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY22864
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY22864 (CA)
316 S HUMBOLDT ST, San Mateo, CA 94401

Other Names 1

Former Name (1)Tiffani Ledel Edmunds Psyd

Other Identifiers 1

Medicare UPIN1538458716CA

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 Tiffani Poulsen's NPI number?

The NPI number for Tiffani Poulsen is 1487991261. It was assigned to this individual provider in the NPPES registry on January 13, 2013. The provider is also known as Tiffani Ledel Edmunds Psyd.

Where is Tiffani Poulsen located?

Tiffani Poulsen practices at 316 S Humboldt St, San Mateo, CA 94401. The listed phone number is (650) 393-3134.

What is Tiffani Poulsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Tiffani Poulsen was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.