Healthcare Provider Details

I. General information

NPI: 1730350992
Provider Name (Legal Business Name): CARA T HOEPNER MS, RN, CS, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/18/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 GOUGH ST STE 211
SAN FRANCISCO CA
94102-6804
US

IV. Provider business mailing address

434 MINNA ST APT 1312
SAN FRANCISCO CA
94103-4618
US

V. Phone/Fax

Practice location:
  • Phone: 415-551-0520
  • Fax: 415-551-0524
Mailing address:
  • Phone: 415-967-3921
  • Fax: 415-426-2002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number677280
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number3103
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: