Healthcare Provider Details

I. General information

NPI: 1982368957
Provider Name (Legal Business Name): BARTON SHULMAN PSYCHOTHERAPY, A PROFESSIONAL CLINICAL COUNSELOR CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 18TH ST STE 104
SAN FRANCISCO CA
94114-2449
US

IV. Provider business mailing address

4200 18TH ST STE 104
SAN FRANCISCO CA
94114-2449
US

V. Phone/Fax

Practice location:
  • Phone: 415-830-3440
  • Fax: 415-449-8613
Mailing address:
  • Phone: 415-569-6304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARTON A SHULMAN
Title or Position: CLINICAL DIRECTOR
Credential: LPCC, CCMHC, BC-TMH
Phone: 415-569-6304