WALDEN HOUSE (NPI# 1205838281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205838281 |
| Entity Type | Organization |
| Organization Name | WALDEN HOUSE |
| Practice Address |
1550 Evans Ave San Francisco CA 94124-1430 |
| Practice Telephone | 4159707500 |
| Practice Fax Number | 4159707564 |
| Mailing Telephone | 4159707500 |
| Mailing Fax Number | 4159707564 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2009-05-08 |
| Authorized Official Name | MR. ROD LIBBEY (PRESIDENT & CEO) |
| Authorized Official Telephone | 4159707500 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | CA | Agencies | |
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALDEN HOUSE BED & BREAKFAST | 1847 5th Ave, West Linn, OR 97068 |
| Street Address |
1550 EVANS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699075564 | Laureb Anastasia Adams | Student in an Organized Health Care Education/Training Program | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2010-10-26 |
| 1669782769 | Jamie Alexandra Sayers | Psychologist | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2010-10-07 |
| 1790094092 | Meghan Brown | Student in an Organized Health Care Education/Training Program | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2010-10-04 |
| 1346559960 | Cosette Delfine Mestayer | Counselor | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2010-09-30 |
| 1346558806 | Aaron Maurice Wright | Counselor | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2010-09-17 |
| 1962731539 | Estrella Angelina Fichter | Social Worker | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2009-12-10 |
| 1396072807 | Arturo Carrillo Sr. | Counselor | 1550 Evans Ave, San Francisco, CA 94124-1430 | 2009-11-05 |
| 1073848701 | Aamnah Husain | Counselor | 1550 Evans Ave, Outpatient Services, San Francisco, CA 94124-1430 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069007 | Recovery Record | Community/Behavioral Health | 304 Moultrie St, San Francisco, CA 94110-5619 | 2020-06-29 |
| 1073074324 | Child Therapy Institute of Marin | Community/Behavioral Health | 3195 California St Ste D, San Francisco, CA 94115-2412 | 2019-03-28 |
| 1215400171 | Healthy Delivery, Inc | Community/Behavioral Health | 290 Division St Ste 304, San Francisco, CA 94103-4850 | 2019-01-03 |
| 1568996494 | Blue Humming Therapy | Community/Behavioral Health | 447 Sutter St Ste 400, San Francisco, CA 94108-4632 | 2017-04-18 |
| 1255882130 | Seneca Family of Agencies | Community/Behavioral Health | 2929 19th St, San Francisco, CA 94110-2019 | 2016-10-17 |
| 1003360538 | Contra Costa County Behavioral Health Department | Community/Behavioral Health | 45 Allston Way, San Francisco, CA 94127-1101 | 2016-08-12 |
| 1245603091 | Seneca Family of Agencies | Community/Behavioral Health | 1101 Eucalyptus Dr, San Francisco, CA 94132-1401 | 2015-11-02 |
| 1841666229 | Seneca Family of Agencies | Community/Behavioral Health | 1035 Gilman Ave, San Francisco, CA 94124-3710 | 2015-08-19 |
| 1700265949 | Lafrance Associates, LLC | Community/Behavioral Health | 170 Capp St, Suite C, San Francisco, CA 94110-1210 | 2015-05-20 |
| 1477951275 | Grossbard&bourzat Corp | Community/Behavioral Health | 618 Athens St, San Francisco, CA 94112-3531 | 2014-12-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
Please comment or provide details below to improve the information on WALDEN HOUSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.