WESTSIDE COMMUNITY MENTAL HEALTH, INC. (NPI# 1588720288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588720288 |
| Entity Type | Organization |
| Organization Name | WESTSIDE COMMUNITY MENTAL HEALTH, INC. |
| Other Organization Name | WESTSIDE ALLIANCE |
| Practice Address |
245 11th St Third Floor San Francisco CA 94103-3732 |
| Mailing Address |
1153 Oak St San Francisco CA 94117-2216 |
| Practice Telephone | 4153550311 |
| Practice Fax Number | 4153550349 |
| Mailing Telephone | 4154319000 |
| Mailing Fax Number | 4154311813 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | MRS. BEA STEPHENS (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4154319000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTSIDE COMMUNTIY MENTAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3815 | 05 |
| Other Name | Type Code |
|---|---|
| Westside Alliance | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861694 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1301 Pierce St, San Francisco, CA 94115-4005 | 2006-12-28 |
| 1902962798 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 245 11th Street, San Francisco, CA 94103 | 2006-12-28 |
| 1568528040 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1663 Mission St Ste 310, San Francisco, CA 94103-2486 | 2006-12-28 |
| 1902962400 | Westside Community Mental Health, Inc. | Home Health | 245 11th St, Third Floor, San Francisco, CA 94103-3732 | 2006-12-29 |
| 1912063496 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1140 Oak St, San Francisco, CA 94117-2217 | 2006-12-28 |
| Street Address |
245 11TH ST THIRD FLOOR |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1609473735 | Ethan Huffman | Nurse Practitioner | 245 11th St, San Francisco, CA 94103-3732 | 2020-10-01 |
| 1700492212 | Janice K Yu | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-09-21 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1942834692 | Azizi Shautay Gupton | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-03-02 |
| 1649818295 | Marquita Thomas | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-12-13 |
| 1467094383 | Roshawn Mathews | Licensed Vocational Nurse | 245 11th St, San Francisco, CA 94103-3732 | 2019-10-11 |
| 1215595012 | Chenice A Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1215498670 | Tiffany M Andrade | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| 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 | 94103 |
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| 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.