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MOUNT ST JOSEPH NPI 1003010695


NPI Information

NPI: 1003010695
Provider Name: MOUNT ST JOSEPH
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 05D2107619

Address:
100 MASONIC AVE
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 567-8370
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MOUNT ST JOSEPH is a community based residential treatment facility mental illness in San Francisco, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MOUNT ST JOSEPH NPI is 1003010695. The provider is registered as an organization entity type.

The provider's business location address is:

100 MASONIC AVE
SAN FRANCISCO, CA
ZIP 94118-415
Phone: (415) 567-8370

The provider's authorized official is Vanessa Leila Kahlon .
The authorized official title is Intern and has the following contact phone number (415) 351-4045.

The CLIA number assigned to this NPI record is 05D2107619 - other - residential recovery sett with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.