MYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION
NPI 1639925936
Psychologist - Clinical in San Francisco, CA

Active since April 26, 2024
1615 POLK ST STE 3, SAN FRANCISCO, CA 94109(415) 237-3598(628) 388-3011 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Apr 26, 2024 (2 updates tracked since 2024).

About Mysafespace Professional Inc: A Psychology Corporation NPPES

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

MYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION (NPI 1639925936) is a healthcare organization registered as a clinical in San Francisco, California and active in the NPI registry since April 2024. The organization lists Enowoghomwenma Osaghae, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1639925936
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION
Location Address1615 POLK ST STE 3San Francisco, CA 94109-3698
Mailing Address5432 Geary Blvd Unit 694San Francisco, CA 94121-2307
Fax(628) 388-3011
Organization SubpartNo
Authorized OfficialEnowoghomwenma OsaghaeClinical Director · (415) 237-3598
Enumeration DateApril 26, 2024
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1639925936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1615 POLK ST STE 3, San Francisco, CA 94109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mysafespace Professional Inc: A Psychology Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mysafespace Professional Inc: A Psychology Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1881078798
1615 POLK ST STE 3
San Francisco, CA 94109
(415) 237-3598
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mysafespace Professional Inc: A Psychology Corporation's NPI number?

The NPI number for Mysafespace Professional Inc: A Psychology Corporation is 1639925936. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Mysafespace Professional Inc: A Psychology Corporation located?

Mysafespace Professional Inc: A Psychology Corporation is located at 1615 Polk St Ste 3, San Francisco, CA 94109. The listed phone number is (415) 237-3598.

What is Mysafespace Professional Inc: A Psychology Corporation's specialty?

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

Is Mysafespace Professional Inc: A Psychology Corporation enrolled in Medicare?

Yes. Mysafespace Professional Inc: A Psychology Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mysafespace Professional Inc: A Psychology Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mysafespace Professional Inc: A Psychology Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mysafespace Professional Inc: A Psychology Corporation was last updated on October 3, 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.