MEDICARE: DR. KATYA CORNEJO PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	103T00000X	Psychologist	23822	CA

General Provider Information

NPI Number	:	1144374729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATYA CORNEJO PSYD

Provider Business Mailing Address
First Line	:	755 29TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-3515
Country	:	US
Telephone Number	:	415-948-6992
Fax Number	:	415-235-0995

Provider Business Practice Location Address
First Line	:	1833 FILLMORE ST
Second Line	:	SUITE 102
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3180
Country	:	US
Telephone Number	:	415-572-1126
Fax Number	:	415-931-3166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2014

Similar Medicare Providers

1023057866 — AUDREY J EGAN D.C.
Practice Location Address:

1833 FILLMORE ST , STE. 100
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-567-9995
Practice Fax:

1477586451 — SHERRY C. COUTO NP
Practice Location Address:

1833 FILLMORE ST , SUITE # 300
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-885-8135
Practice Fax: 415-885-8144

1770508186 — LISA KLEE MIHALY RN, FNP
Practice Location Address:

1833 FILLMORE ST , 3RD FLOOR
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-379-7800
Practice Fax:

1215099890 — DEBORAH JO DAVIDSON FNP
Practice Location Address:

1833 FILLMORE ST , 3RD FLOOR
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-487-5638
Practice Fax: 415-431-9909

1417072836 — WHITNEY BURROUGHS NP
Practice Location Address:

1833 FILLMORE ST , 3RD FLOOR
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-379-7800
Practice Fax:

1396937702 — MS. YUMIKO BAMBA L.AC.
Practice Location Address:

1833 FILLMORE ST , 102
SAN FRANCISCO, CA
94115-3180

Practice Phone: 415-922-6025
Practice Fax:

Directions to “ DR. KATYA CORNEJO PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.