Provider Demographics
NPI:1285718221
Name:UNGER, KATHLEEN BELL (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:BELL
Last Name:UNGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 VAN NESS AVE
Mailing Address - Street 2:# 710
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3015
Mailing Address - Country:US
Mailing Address - Phone:415-776-0456
Mailing Address - Fax:415-668-9850
Practice Address - Street 1:2000 VAN NESS AVE
Practice Address - Street 2:# 710
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3015
Practice Address - Country:US
Practice Address - Phone:415-776-0456
Practice Address - Fax:415-668-9850
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9452018Medicaid
CA9452018Medicaid