EDGE WOOD


Address: 1801 Vicente Street, San Francisco, CA 94116
Phone: 4156813205

EDGE WOOD (NPI# 1528386117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528386117
Entity Type Organization
Organization Name EDGE WOOD
Practice Address 1801 Vicente Street
San Francisco
CA 94116
Practice Telephone 4156813205
Mailing Telephone 4156813205
Enumeration Date 2010-05-07
Last Update Date 2010-05-07
Authorized Official Name MICHAEL NATHEN PICKARD (COUNSELOR)
Authorized Official Telephone 4154188409
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations EDGE WOOD CONTRACTING OF LI, INC. 7 Elmay Place, East Northport, Ny 11731
Vermont Business Registrations EDGE WOODWORKS LLC 837 Dewing Rd, Franklin, VT 05457

Office Location

Street Address 1801 VICENTE STREET
City SAN FRANCISCO
State CA
Zip Code 94116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891899183 Robin Ricardo Randall Psychiatry & Neurology 1801 Vicente Street, The Edgewood Center for Children and Families, San Francisco, CA 94116-2923 2006-09-08
1053926139 Abdulmalik Alturki Student in an Organized Health Care Education/Training Program 1801 Vicente Street, San Francisco, CA 94116 2020-09-15
1902322522 Simon Lam Community Health Worker 1801 Vicente Street, San Francisco, CA 94116 2017-08-15
1841747375 Romuald Kai Santiago Community Health Worker 1801 Vicente Street, San Francisco, CA 94116 2016-09-01
1083038079 Carmen Smith Community Health Worker 1801 Vicente Street, San Francisco, CA 94116 2014-02-11
1679903520 Rebecca Mars Community Health Worker 1801 Vicente Street, San Francisco, CA 94116 2013-11-13
1568802643 Robert Belmore Counselor 1801 Vicente Street, San Francisco, CA 94116 2013-07-03
1023363793 Luis Gerardo Cortes Counselor 1801 Vicente Street, San Francisco, CA 94116 2012-07-19
1235423880 Omoh Debbie Odiye Counselor 1801 Vicente Street, San Francisco, CA 94116 2011-05-31
1730499773 Jill Suzanne Mcroberts Counselor 1801 Vicente Street, San Francisco, CA 94116-2995 2010-10-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386275972 Eric Lee Behavior Technician 2000 43rd Ave, San Francisco, CA 94116 2020-01-31
1376103176 Young-in Kim Physical Therapist 3401 Taraval St, San Francisco, CA 94116 2019-06-14
1952806408 Ramirez & Xia Dental Corp. Dentist 2409 Taraval St., San Francisco, CA 94116 2018-03-27
1043739337 Cindi Lam Community Health Worker 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 2017-09-18
1043735442 Tammy Marie Buhler Community Health Worker 1990 41st Avenue, San Francisco, CA 94116 2017-08-07
1457875015 Janet Bilafer-steiner Nurse Practitioner 2935 Travel Street, San Francisco, CA 94116 2017-07-26
1790225811 Christopher Valles-martinez Counselor 1801 Vicente St, San Francisco, CA 94116 2017-03-08
1033659578 Emiko Perez Technician, Other 2235 31st Ave, San Francisco, CA 94116 2017-03-02
1982070249 Elizabeth Ancker Counselor 1800 Vicente Street, San Francisco, CA 94116 2015-08-20
1922432608 Toby Wai Chang Pharmacist 2354 32nd Ave, San Francisco, CA 94116 2013-08-29
Find all providers in zip 94116

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134650070 Nalls Foundation Residential Treatment Facility, Emotionally Disturbed Children 131 Persia Ave, San Francisco, CA 94112-2717 2017-03-22
1568742823 Edgewood Center Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente Ave, San Francisco, CA 94116 2011-08-18
1942469705 Jory Daniel Linzer Zalona Residential Treatment Facility, Emotionally Disturbed Children 1814 Divisadero St, San Francisco, CA 94115-2517 2008-06-06
1093973679 Amanda Marie Oswalt Residential Treatment Facility, Emotionally Disturbed Children 1062 Fulton St Apt 2, San Francisco, CA 94117-1627 2008-05-30
1043626617 Samantha Mccants Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2014-07-03
1265865240 Edgewood Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2013-08-14
1235365883 Noam Scott Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2009-06-09
1932341716 Edgewood Center Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2009-03-25
1801056395 Edgewood Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2008-06-10
1639340573 Burt Childrens Center Residential Treatment Facility, Emotionally Disturbed Children 940 Grove St, San Francisco, CA 94117-1714 2008-03-19
Find all providers in SAN FRANCISCO

Competitor

Search similar providers

City SAN FRANCISCO
Zip Code 94116

Improve Information

Please comment or provide details below to improve the information on EDGE WOOD.

Dataset Information

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.

Trending Searches