{"schema":"gale.providerFacts/1","npi":"1922660117","url":"https://www.gale.care/providers/ca/san-francisco/suzanne-bernier-lmft-1922660117","factsUrl":"https://www.gale.care/npi/1922660117.json","markdownUrl":"https://www.gale.care/npi/1922660117.md","generatedAt":"2026-10-24T14:58:41.667Z","exportId":"elig-ca-20261023T221350Z","factsHash":"3c66c5a20fce732f","factsChangedAt":"2026-10-23T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Suzanne Bernier, LMFT (NPI 1922660117) is listed in the NPPES registry with the specialty Marriage & Family Therapist in San Francisco, CA, phone (510) 872-7576, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Suzanne Bernier","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Suzanne Bernier under NPI 1922660117, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":"LMFT","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists the credential LMFT for Suzanne Bernier, LMFT (NPI 1922660117), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Marriage & Family Therapist","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Suzanne Bernier, LMFT (NPI 1922660117) under the specialty Marriage & Family Therapist, as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Suzanne Bernier, LMFT (NPI 1922660117) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2019,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1922660117 (Suzanne Bernier, LMFT) issued in 2019, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Suzanne Bernier, LMFT (NPI 1922660117) as a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"San Francisco","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in San Francisco for Suzanne Bernier, LMFT (NPI 1922660117), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Suzanne Bernier, LMFT (NPI 1922660117), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(510) 872-7576","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (510) 872-7576 as the practice phone for Suzanne Bernier, LMFT (NPI 1922660117), as of the registry file of Jun 8, 2026."}},"care":{},"insurance":{"rows":[{"id":"ins-medicare-medicare","value":{"payer":"medicare","payerLabel":"Original Medicare","line":"medicare","products":["Medicare Part B"],"accepts":false,"setting":null,"optOut":{"from":"2025-12-29","to":"2027-12-29"}},"status":"confirmed","source":"cms-medicare-optout","asOf":"2026-03-16","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-13","confidence":"high","gate":"G3","sentence":"Listed: CMS Medicare opt-out list lists Suzanne Bernier, LMFT (NPI 1922660117) as opted out of Original Medicare from Dec 29, 2025 to Dec 29, 2027 (record dated Mar 16, 2026, file of Sep 15, 2026). Medicare does not pay an opted-out clinician; you can still see them under a private contract and pay them directly. Gale checked 2 listings in this file by hand on Oct 22, 2026; none were wrong."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Suzanne Bernier, LMFT (NPI 1922660117) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-commercial","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California commercial plans for Suzanne Bernier, LMFT (NPI 1922660117) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-marketplace","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California individual and family plans for Suzanne Bernier, LMFT (NPI 1922660117) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medi-cal","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Promise Health Plan Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medicare-advantage","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Medicare Advantage plans for Suzanne Bernier, LMFT (NPI 1922660117) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-caloptima-medi-cal","value":null,"status":"not-listed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"low","gate":"G3","sentence":"Not listed by CalOptima Health Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in CalOptima Health's directory, file of Oct 11, 2026. That is not a no.","checkedSources":[{"source":"caloptima-fhir-directory","asOf":"2026-10-11"}]},{"id":"ins-calviva-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"low","gate":"G3","sentence":"Not listed by CalViva Health Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Net's directory, file of Oct 21, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-21"}]},{"id":"ins-ccah-medi-cal","value":null,"status":"not-listed","source":"ccah-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T14:57:43Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Central California Alliance for Health Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Central California Alliance for Health's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"ccah-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-goldcoast-medi-cal","value":null,"status":"not-listed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Gold Coast Health Plan Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Gold Coast Health Plan's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"goldcoast-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-healthnet-commercial","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net commercial plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-marketplace","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Ambetter from Health Net individual and family plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-medicare-advantage","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Wellcare by Health Net Medicare Advantage plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-hpsj-medi-cal","value":null,"status":"not-listed","source":"hpsj-fhir-directory","asOf":"2026-10-02","checkedAt":"2026-10-22T21:41:38Z","staleAfter":"2027-03-31","confidence":"low","gate":"G3","sentence":"Not listed by Health Plan of San Joaquin Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Health Plan of San Joaquin's directory, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"hpsj-fhir-directory","asOf":"2026-10-02"}]},{"id":"ins-humana-medicare-advantage","value":null,"status":"not-listed","source":"humana-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by Humana Medicare Advantage plans for Suzanne Bernier, LMFT (NPI 1922660117) in Humana's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"humana-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Suzanne Bernier, LMFT (NPI 1922660117) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-iehp-medi-cal","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-29","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-25","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 29, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-29"}]},{"id":"ins-iehp-medicare-advantage","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medicare Advantage plans for Suzanne Bernier, LMFT (NPI 1922660117) in Inland Empire Health Plan (IEHP)'s directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-medi-cal-ffs-medi-cal","value":null,"status":"not-listed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"low","gate":"G3","sentence":"Not listed by Medi-Cal fee-for-service for Suzanne Bernier, LMFT (NPI 1922660117) in DHCS Medi-Cal fee-for-service enrolment file, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19"}]},{"id":"ins-partnership-medi-cal","value":null,"status":"not-listed","source":"partnership-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T21:38:25Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Partnership HealthPlan of California Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in Partnership HealthPlan of California's directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"partnership-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Suzanne Bernier, LMFT (NPI 1922660117) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]},{"id":"ins-va-va","value":null,"status":"not-listed","source":"va-ccn-vagov-locator-2026-10","asOf":"2026-10-22","checkedAt":"2026-10-22T19:49:10Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by VA Community Care for Suzanne Bernier, LMFT (NPI 1922660117) in VA's community care locator, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"va-ccn-vagov-locator-2026-10","asOf":"2026-10-22"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+15108727576","book":null,"payDoor":null,"saveContact":"/npi/1922660117.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"unknown","answer":"Gale has no record of whether Suzanne Bernier, LMFT (NPI 1922660117) is taking new patients. Ask the office.","factIds":[]},{"q":"insurance","status":"confirmed","answer":"Listed: CMS Medicare opt-out list lists Suzanne Bernier, LMFT (NPI 1922660117) as opted out of Original Medicare from Dec 29, 2025 to Dec 29, 2027 (record dated Mar 16, 2026, file of Sep 15, 2026). Medicare does not pay an opted-out clinician; you can still see them under a private contract and pay them directly. Gale checked 2 listings in this file by hand on Oct 22, 2026; none were wrong.","factIds":["ins-medicare-medicare"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Suzanne Bernier, LMFT (NPI 1922660117) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"unknown","answer":"Gale has no record of whether Suzanne Bernier, LMFT (NPI 1922660117) offers video visits. Ask the office.","factIds":[]},{"q":"where","status":"self-reported","answer":"Suzanne Bernier, LMFT (NPI 1922660117) is listed in San Francisco, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Suzanne Bernier, LMFT (NPI 1922660117) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Suzanne Bernier, LMFT (NPI 1922660117) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Suzanne Bernier, LMFT (NPI 1922660117) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (510) 872-7576, the practice phone the NPPES registry lists for Suzanne Bernier, LMFT (NPI 1922660117) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Suzanne Bernier, LMFT (NPI 1922660117). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1922660117","handCheck":null},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"ccah-fhir-directory","name":"Central California Alliance for Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null},{"id":"cms-medicare-optout","name":"CMS Medicare opt-out list","kind":"cms-file","asserting":true,"fileDate":"2026-09-15","url":"https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits","handCheck":{"wrong":0,"checked":2,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"hpsj-fhir-directory","name":"Health Plan of San Joaquin's directory","kind":"directory","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":null},{"id":"humana-fhir-directory","name":"Humana's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":null},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"partnership-fhir-directory","name":"Partnership HealthPlan of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":null},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"va-ccn-vagov-locator-2026-10","name":"VA's community care locator","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, up to 270 days after the file's date, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}