Healthcare Provider Details
I. General information
NPI: 1285961540
Provider Name (Legal Business Name): JAY M SEIFF-HARON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/06/2009
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4112 24TH ST
SAN FRANCISCO CA
94114-3615
US
IV. Provider business mailing address
4112 24TH ST
SAN FRANCISCO CA
94114-3615
US
V. Phone/Fax
- Phone: 415-845-2337
- Fax:
- Phone: 415-845-2337
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0000X |
| Taxonomy | Family Psychologist |
| License Number | PSY23443 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY23443 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | PSY23443 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | PSY23443 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: