DR. KIMIA MANSOOR PSYD
NPI 1861916025
Psychologist - Clinical in San Francisco, CA

Active since July 31, 2017
2154 BRODERICK ST, SAN FRANCISCO, CA 94115(510) 858-1805 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2024, Aug 16, 2022, Jul 31, 2017 (3 updates tracked since 2017).

About Dr. Kimia Mansoor Psyd NPPES

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

DR. KIMIA MANSOOR PSYD (NPI 1861916025) is an individual clinical provider in San Francisco, California, licensed in California (33524) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1861916025
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMIA MANSOORCredential: PSYD
Location Address2154 BRODERICK STSan Francisco, CA 94115-1628
Mailing Address2154 Broderick StSan Francisco, CA 94115-1628
Sole ProprietorYes
Enumeration DateJuly 31, 2017
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1861916025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 33524
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.

2154 BRODERICK ST, San Francisco, CA 94115

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
2154 BRODERICK ST
SAN FRANCISCO, CA 94115
Marriage & Family Therapist
2154 BRODERICK ST
SAN FRANCISCO, CA 94115
Psychiatry & Neurology (Psychiatry)
2154 BRODERICK ST
SAN FRANCISCO, CA 94115
Psychologist
2154 BRODERICK ST
SAN FRANCISCO, CA 94115
Marriage & Family Therapist
2154 BRODERICK ST
SAN FRANCISCO, CA 94115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861916025, enumerated as an "individual" on July 31, 2017.

The provider is located at 2154 BRODERICK ST SAN FRANCISCO, CA 94115 and the phone number is (510) 858-1805.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.