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Miriam Fagan, PSYD
NPI 1487283685 · Clinical Psychologist · San Rafael, CA
Miriam Fagan, PSYD is a Clinical Psychologist provider in San Rafael, CA (NPI 1487283685).
Provider details
- NPI number
- 1487283685
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 31718 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Smith Ranch Rd
San Rafael, CA 94903-1939
Phone: (415) 491-3003
Street-level locationGet directions
Mailing address
775 E Blithedale Ave # 141
Mill Valley, CA 94941-1554
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Miriam Fagan's NPI number?
- Miriam Fagan's National Provider Identifier (NPI) is 1487283685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miriam Fagan's specialty?
- Miriam Fagan is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Miriam Fagan located?
- Miriam Fagan's practice location on file with NPPES is 111 Smith Ranch Rd, San Rafael, CA 94903-1939.
- What is Miriam Fagan's phone number?
- The practice phone number listed in the NPPES registry for Miriam Fagan is (415) 491-3003.
- Is Miriam Fagan's NPI active?
- Yes — Miriam Fagan's NPI (1487283685) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.