| Brightside Medical, P.a. | |
|
5214f Diamond Heights Blvd # 345 San Francisco CA 94131-2175 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5214f Diamond Heights Blvd # 345, San Francisco, California |
| Authorized Official Name and Position | Mirene Winsberg (ADMINISTRATOR) |
| Authorized Official Contact | 4153603348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Medical, P.a. 2261 Market St Ste 10222 San Francisco CA 94114-1612 Ph: (415) 360-3348 | Brightside Medical, P.a. 5214f Diamond Heights Blvd # 345 San Francisco CA 94131-2175 Ph: (415) 360-3348 |
| NPI Number | 1609335660 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 3678948809 |
|---|---|
| Medicare Enrollment ID | O20230331000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609335660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275564197 PECOS PAC ID: 8820983471 Enrollment ID: I20040220000940 |
| Provider Name | Amanda Lynn Berbaum Aussem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578118964 PECOS PAC ID: 2163479536 Enrollment ID: I20050407000446 |
| Provider Name | Alfreda Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497021810 PECOS PAC ID: 7810145133 Enrollment ID: I20120911000818 |
| Provider Name | Tina M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325960 PECOS PAC ID: 2961635511 Enrollment ID: I20140506000455 |
| Provider Name | Tanisha N Hankerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174072698 PECOS PAC ID: 4486941671 Enrollment ID: I20161003002367 |
| Provider Name | Veronica M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356710 PECOS PAC ID: 1951663749 Enrollment ID: I20180314001028 |
| Provider Name | Sophie Mbua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811534902 PECOS PAC ID: 4688002314 Enrollment ID: I20200311002817 |
| Provider Name | Ryan M Sheehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235697954 PECOS PAC ID: 1456755776 Enrollment ID: I20210810000176 |
| Provider Name | Lauren Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184393027 PECOS PAC ID: 0648668798 Enrollment ID: I20211022001682 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160572 PECOS PAC ID: 1254714421 Enrollment ID: I20220822000371 |
| Provider Name | Farah Shaddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524059 PECOS PAC ID: 2466827639 Enrollment ID: I20230403001452 |
| Provider Name | Meghan Mccoy-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457705626 PECOS PAC ID: 2062776727 Enrollment ID: I20230403001509 |
| Provider Name | Robert King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992729016 PECOS PAC ID: 9032177407 Enrollment ID: I20230413000490 |
| Provider Name | Mary Matzeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184777872 PECOS PAC ID: 1557372224 Enrollment ID: I20230505000082 |
| Provider Name | Brent Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437661808 PECOS PAC ID: 2961761978 Enrollment ID: I20230509001851 |
| Provider Name | Erin Clevenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831581180 PECOS PAC ID: 2668805755 Enrollment ID: I20230515003295 |
| Provider Name | Afsheen Zuberi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043775356 PECOS PAC ID: 1557721859 Enrollment ID: I20230718003766 |
| Provider Name | Erika N Hetland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154834851 PECOS PAC ID: 4880056050 Enrollment ID: I20230821001130 |
| Provider Name | Kyria Anastasia Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629654298 PECOS PAC ID: 8628486552 Enrollment ID: I20230830002901 |
| Provider Name | Sheena Barragan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689256885 PECOS PAC ID: 7214382050 Enrollment ID: I20231013000787 |
| Provider Name | Diona Ranee Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194206607 PECOS PAC ID: 4789039231 Enrollment ID: I20240122001671 |
| Provider Name | Brett Ryan Zelencik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235685983 PECOS PAC ID: 0042653800 Enrollment ID: I20240208001721 |
| Provider Name | Doreen Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649633256 PECOS PAC ID: 4880038520 Enrollment ID: I20240221001048 |
| Provider Name | Camillia Depke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942483029 PECOS PAC ID: 6709221237 Enrollment ID: I20240223003204 |
| Provider Name | Natalya A Meydbray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073209326 PECOS PAC ID: 5890130728 Enrollment ID: I20240229003678 |
| Provider Name | Eliza K Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013564095 PECOS PAC ID: 0840635470 Enrollment ID: I20240305001833 |
| Provider Name | Crystina Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477118974 PECOS PAC ID: 0840635405 Enrollment ID: I20240305002677 |
| Provider Name | Larcetta Linear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659959559 PECOS PAC ID: 3476999699 Enrollment ID: I20240311002388 |
| Provider Name | Jamie Frederick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437706744 PECOS PAC ID: 4284085333 Enrollment ID: I20240312000921 |
| Provider Name | Sara Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447794417 PECOS PAC ID: 9739527185 Enrollment ID: I20240403003676 |
| Provider Name | Mary Molyneaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780272112 PECOS PAC ID: 7911347505 Enrollment ID: I20240430001499 |
| Provider Name | Theresa Ann Kennedy Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114210721 PECOS PAC ID: 6305102112 Enrollment ID: I20240604003330 |
| Provider Name | Janki Sevak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245831353 PECOS PAC ID: 5395289631 Enrollment ID: I20240627003386 |
| Provider Name | Sara Beth Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477950608 PECOS PAC ID: 8628373966 Enrollment ID: I20240718000481 |
| Provider Name | Stephanie J. Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336687144 PECOS PAC ID: 4385184860 Enrollment ID: I20240911001098 |
| Provider Name | Erin L Gabehart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063680452 PECOS PAC ID: 8729513783 Enrollment ID: I20241127002938 |
| Provider Name | Catherine Atieno Awitta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346073400 PECOS PAC ID: 8527594472 Enrollment ID: I20241216001642 |
| Provider Name | Katelyn S Varhely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790986313 PECOS PAC ID: 1557890225 Enrollment ID: I20250124001004 |
| Provider Name | Kahea Sammons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154821296 PECOS PAC ID: 3375071194 Enrollment ID: I20250219003919 |
| Provider Name | Marla Danielle Seals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720451404 PECOS PAC ID: 5092236489 Enrollment ID: I20250228002981 |
| Provider Name | Sean Martiny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770028912 PECOS PAC ID: 2264956879 Enrollment ID: I20250404001152 |
| Provider Name | John C Wiesch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578076113 PECOS PAC ID: 3971021320 Enrollment ID: I20250519003235 |
| Provider Name | Gretchen Joann Skoog |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174601165 PECOS PAC ID: 7618496142 Enrollment ID: I20250528000946 |
City And County Of San Francisco Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Suite 400, San Francisco, CA 94124 Phone: 415-907-3875 Fax: 415-970-3875 | |
City And County Of San Francisco Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Building B, Suite 400, San Francisco, CA 94124 Phone: 415-970-3800 Fax: 415-970-3855 | |
Healthright 360 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Golden Gate Ave, San Francisco, CA 94102 Phone: 415-776-1001 Fax: 415-776-1066 | |
A Woman's Place Drop-in Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 13th St, San Francisco, CA 94103 Phone: 415-420-1420 | |
Piatigorsky Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 Sanchez St, San Francisco, CA 94114 Phone: 415-713-0807 | |
Contra Costa County Behavioral Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Allston Way, San Francisco, CA 94127 Phone: 415-866-5231 | |
Medens Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 California St Ste 1500, San Francisco, CA 94111 Phone: 415-854-5400 Fax: 844-654-2900 |