Healthcare Provider Details

I. General information

NPI: 1467368555
Provider Name (Legal Business Name): LINDSAY WAKAYAMA PSYD, A PROFESSIONAL PSYCHOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 FILLMORE STREET
SAN FRANCISCO CA
94115-2708
US

IV. Provider business mailing address

2021 FILLMORE STREET PMB2351
SAN FRANCISCO CA
94115-2708
US

V. Phone/Fax

Practice location:
  • Phone: 415-489-0496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDSAY WAKAYAMA
Title or Position: OWNER AND PSYCHOLOGIST
Credential: PSYD
Phone: 415-489-0496