DR. SAMUEL GERSON PH.D.
NPI 1073024832
Psychologist - Clinical in San Francisco, CA
NPI Status: Active since October 19, 2017
Contact Information
2252 FILLMORE ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (510) 654-4525
- Individual
- Male
- Psychologist
- Clinical
- Opted-Out Medicare
About SAMUEL GERSON
This page provides the complete NPI Profile along with additional information for Samuel Gerson, a provider established in San Francisco, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1073024832 assigned on October 2017. The practitioner's primary taxonomy code is 103TC0700X with license number PSY8786 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1073024832
- Provider Name
- DR. SAMUEL GERSON PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2252 FILLMORE ST SAN FRANCISCO, CA 94115
- Location Phone
- (510) 654-4525
- Mailing Address
- 2252 FILLMORE ST SAN FRANCISCO, CA 94115
- Mailing Phone
- (510) 654-4525
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-19-2017
- Last Update Date
- 03-17-2018
- Code Navigator
A clinical psychologist like Samuel Gerson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samuel Gerson opted out of Medicare effective on 10-27-2021 until 10-27-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5625 College Ave Ste 213
Oakland, CA 94618
(510) 654-4525
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY8786
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-27-2021
Opt-Out End Date: 10-27-2025
Eligible to Order and Refer? No
Reviews for DR. SAMUEL GERSON PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 0 | 2 | 4 | 8 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 0 | 2 | 8 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 0 + 2 + 8 + 8 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1073024832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992928527 | DAWN AMY OSTERWEIL PH.D. Individual | Clinical Neuropsychologist | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 923-0866 |
| 1639385529 | DR. KATRINA A. HALPERN Individual | Psychologist (Clinical) | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 541-5038 |
| 1184834913 | DR. CHARLES JOSEPH SPEZZANO PH.D. Individual | Psychoanalyst | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 469-2090 |
| 1447461058 | DR. TRACY ARTSON PH.D. Individual | Psychologist (Adult Development & Aging) | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 923-0866 |
| 1497951529 | DR. SUE SAPERSTEIN MFT, PSY.D. Individual | Marriage & Family Therapist | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 641-4146 |
| 1376848168 | DR. VICTOR PAUL BONFILIO PHD Individual | Psychologist | 2252 FILLMORE ST SAN FRANCISCO, CA 94115 (415) 922-2281 |
| 1164733259 | DR. CHARLES E. BRANDES PH.D. Individual | Psychologist (Clinical) | 2252 FILLMORE ST STE 402 SAN FRANCISCO, CA 94115 (415) 922-5632 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073024832, enumerated in the NPI registry as an "individual" on October 19, 2017
The provider is located at 2252 Fillmore St San Francisco, Ca 94115 and the phone number is (510) 654-4525
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
No, the provider signed an affidavit on October 27, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 27, 2025.
This NPI record was last updated on October 19, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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