Provider Demographics
NPI:1376847293
Name:WINKEL, RICARDO (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:WINKEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CALIFORNIA ST STE 2450
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-6102
Mailing Address - Country:US
Mailing Address - Phone:415-399-1194
Mailing Address - Fax:
Practice Address - Street 1:101 CALIFORNIA ST STE 2450
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-6102
Practice Address - Country:US
Practice Address - Phone:415-399-1194
Practice Address - Fax:510-420-1823
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13558103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist