Healthcare Provider Details

I. General information

NPI: 1609569672
Provider Name (Legal Business Name): KNOW NOW PSYCHOLOGICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 LAUREL ST STE 9
SAN FRANCISCO CA
94118-1952
US

IV. Provider business mailing address

399 LAUREL ST STE 9
SAN FRANCISCO CA
94118-1952
US

V. Phone/Fax

Practice location:
  • Phone: 415-295-5537
  • Fax: 415-413-2861
Mailing address:
  • Phone: 415-295-5537
  • Fax: 415-413-2861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN DANIEL GUSTMAN
Title or Position: PRACTICE OWNER/PSYCHOLOGIST
Credential: PHD
Phone: 415-295-5537