MEDICARE: DR. RODNEY G KARR

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PSY6906	CA
2	103TA0700X	Adult Development & Aging Psychologist	PSY6906	CA
3	103TB0200X	Cognitive & Behavioral Psychologist	PSY6906	CA
4	103TC1900X	Counseling Psychologist	PSY6906	CA
5	103TC2200X	Clinical Child & Adolescent Psychologist	PSY6906	CA
6	103TF0000X	Family Psychologist	PSY6906	CA
7	103TH0100X	Health Service Psychologist	PSY6906	CA
8	103TP0814X	Psychoanalysis Psychologist	PSY6906	CA
9	103T00000X	Psychologist	PSY6906	CA
10	103TP2701X	Group Psychotherapy Psychologist	PSY6906	CA
11	103TR0400X	Rehabilitation Psychologist	PSY6906	CA
12	103T00000X	Psychologist	PY6906	CA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY6906	OTHER	CA	LICENSE NUMBER

NPI Number	:	1669499273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY G KARR

Provider Business Mailing Address
First Line	:	290 DIVISADERO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3253
Country	:	US
Telephone Number	:	415-931-1934
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 DIVISADERO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3253
Country	:	US
Telephone Number	:	415-931-1934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/11/2025

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515