LIVE LEVELED FAMILY THERAPY, INC (NPI# 1508401985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508401985 |
| Entity Type | Organization |
| Organization Name | LIVE LEVELED FAMILY THERAPY, INC |
| Practice Address |
809 Quarry Rd Apt B San Francisco CA 94129-1150 |
| Practice Telephone | 8312296100 |
| Mailing Telephone | 8312296100 |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |
| Authorized Official Name | LOREL GRANDE (PRESIDENT) |
| Authorized Official Telephone | 8312296100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
809 QUARRY RD APT B |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94129-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362652 | Jamin N Gorham | Physical Therapist | 1162 B Gorgas Avenue, San Francisco, CA 94129 | 2018-10-19 |
| 1942743307 | Kristin Elizabeth Goodrich | Physical Therapist | 1162 B Gorgas Ave, San Francisco, CA 94129 | 2016-12-02 |
| 1356822449 | Matthew Timothy Kuik | Physical Therapist | 1162 B Gorgas Ave, San Francisco, CA 94129 | 2018-08-27 |
| 1356749279 | Masonic Center for Youth and Families | Clinic/Center | 6 Funston Ave, San Francisco, CA 94129 | 2014-12-09 |
| 1285286211 | Derek Wei-yun Wong | Behavior Technician | 1520 Pershing Dr Apt F, San Francisco, CA 94129-1096 | 2019-07-10 |
| 1942578521 | Antonia Servat | Marriage & Family Therapist | 6 Funston Ave, San Francisco, CA 94129-1109 | 2011-12-09 |
| 1841403052 | William Meehan | Psychologist | 10 Funston Avenue, The Presidio, San Francisco, CA 94129-1109 | 2007-05-07 |
| 1710017801 | Judith R Levin | Counselor | 10 Funston Ave, The Presidi, San Francisco, CA 94129-1109 | 2007-03-07 |
| 1043788953 | Masonic Homes of California | Psychiatry & Neurology | 6 Funston Ave, San Francisco, CA 94129-1109 | 2018-11-08 |
| 1174021182 | Gouverneur M Carnochan | Psychologist | 10 Funston Ave, San Francisco, CA 94129-1109 | 2018-01-24 |
| Find all providers in zip 94129 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255708517 | Marcia Weisbrot | Point of Service | 811 14th St Apt 12, San Francisco, CA 94114-1259 | 2015-08-21 |
| 1881021996 | Dept Public Health | Point of Service | 2443 Fillmore St, San Francisco, CA 94115-1814 | 2013-10-03 |
| 1003243320 | Frn Outpatient San Francisco | Point of Service | 1700 Montgomery St Ste 435, San Francisco, CA 94111-1043 | 2013-10-01 |
| 1518293927 | Youth Justice Institute | Point of Service | 375 Woodside Ave Bldg W2, San Francisco, CA 94127-1221 | 2009-10-20 |
| 1205001245 | Dph /special Programs for Youth | Point of Service | 375 Woodside Ave # 3, San Francisco, CA 94127-1221 | 2008-04-29 |
| 1386098119 | Shamaya | Point of Service | 1863 Union St, San Francisco, CA 94123-4307 | 2016-04-18 |
| 1255798666 | Dominic Tse Md A Professional Corporation | Point of Service | 728 Pacific Ave Ste 505, San Francisco, CA 94133-4449 | 2016-01-15 |
| 1669865903 | Kyle Corsiglia, Mft | Point of Service | 2171 Union St, San Francisco, CA 94123-4003 | 2015-03-11 |
| 1477953370 | Mazu Medicine | Point of Service | 1604 Union St, San Francisco, CA 94123-4507 | 2014-08-27 |
| 1013262609 | Westside Community Services | Point of Service | 1301 Pierce St, San Francisco, CA 94115-4005 | 2012-07-19 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94129 |
Please comment or provide details below to improve the information on LIVE LEVELED FAMILY THERAPY, INC.
| 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.