Provider Demographics
NPI:1710212030
Name:JAMES-MYERS, MOLLY B (MD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:B
Last Name:JAMES-MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:B
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:401 PARNASSUS AVE
Mailing Address - Street 2:BOX 0984
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0984
Mailing Address - Country:US
Mailing Address - Phone:415-476-7500
Mailing Address - Fax:415-476-7404
Practice Address - Street 1:401 PARNASSUS AVE
Practice Address - Street 2:BOX 0984
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0984
Practice Address - Country:US
Practice Address - Phone:415-476-7500
Practice Address - Fax:415-476-7404
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-04
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1094242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry