Provider Demographics
NPI:1780619346
Name:CHRISTMAS, JANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MARKET ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2102
Mailing Address - Country:US
Mailing Address - Phone:415-896-2500
Mailing Address - Fax:415-896-2511
Practice Address - Street 1:703 MARKET ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2102
Practice Address - Country:US
Practice Address - Phone:415-896-2500
Practice Address - Fax:415-896-2511
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19424103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL194240OtherBLUE SHIELD PROVIDER NO.