DR. ENOWOGHOMWENMA OSAGHAE
NPI 1881078798
Psychologist - Clinical in San Francisco, CA

Active since July 10, 2015PECOS EnrolledAccepts Medicare Assignment
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 8, 2024, Jul 27, 2018 (3 updates tracked since 2018).

About Dr. Enowoghomwenma Osaghae NPPES

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

DR. ENOWOGHOMWENMA OSAGHAE (NPI 1881078798) is an individual clinical provider in San Francisco, California, licensed in California (34976) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881078798
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ENOWOGHOMWENMA OSAGHAE
Location Address1615 POLK ST STE 3San Francisco, CA 94109-3698
Mailing Address5432 Geary Blvd Unit 694San Francisco, CA 94121-2307
Fax(628) 388-3011
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2015
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1881078798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34976
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 ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
1615 POLK ST STE 3, San Francisco, CA 94109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Enowoghomwenma Osaghae 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 ID1456793991
PECOS Enrollment IDI20240529002076
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.

Medicare Billing Reassignment

Medicare enrollment records show Enowoghomwenma Osaghae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1615 POLK ST STE 3
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
1615 POLK ST STE 3
SAN FRANCISCO, CA 94109
Social Worker (Clinical)
1615 POLK ST STE 3
SAN FRANCISCO, CA 94109

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 Enowoghomwenma Osaghae's NPI number?

The NPI number for Enowoghomwenma Osaghae is 1881078798. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Enowoghomwenma Osaghae located?

Enowoghomwenma Osaghae practices at 1615 Polk St Ste 3, San Francisco, CA 94109. The listed phone number is (415) 237-3598.

What is Enowoghomwenma Osaghae's specialty?

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

Is Enowoghomwenma Osaghae enrolled in Medicare?

Yes. Enowoghomwenma Osaghae 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.

Which organization bills Medicare for Enowoghomwenma Osaghae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enowoghomwenma Osaghae reassigns Medicare benefits to Mysafespace Professional Inc: A Psychology Corporation (San Francisco, CA). The 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 Enowoghomwenma Osaghae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Enowoghomwenma Osaghae 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.