Provider Demographics
NPI:1548737968
Name:GOKBAYRAK, NEMRA SIMAY (PHD)
Entity Type:Individual
Prefix:MS
First Name:NEMRA SIMAY
Middle Name:
Last Name:GOKBAYRAK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NEMRA
Other - Middle Name:SIMAY
Other - Last Name:GOKBAYRAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:220 SANSOME ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-2321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 SANSOME ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2321
Practice Address - Country:US
Practice Address - Phone:415-727-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty