THE HEALTHY TEEN PROJECT, INC.


Address: 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421
Phone: 4157971414

THE HEALTHY TEEN PROJECT, INC. (NPI# 1760031314) 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) 1760031314
Entity Type Organization
Organization Name THE HEALTHY TEEN PROJECT, INC.
Practice Address 1400 Tennessee St Unit 3
San Francisco
CA 94107-3421
Mailing Address 919 Fremont Ave Ste 100
Los Altos
CA 94024-6047
Practice Telephone 4157971414
Practice Fax Number 4157971413
Mailing Telephone 6509412300
Mailing Fax Number 6509412305
Enumeration Date 2019-09-06
Last Update Date 2019-12-12
Authorized Official Name TOM BREHME (COO)
Authorized Official Telephone 6509008464
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174960090 The Healthy Teen Project, Inc. Clinic/Center 919 Fremont Ave, Suite 100, Los Altos, CA 94024-6024 2013-06-01

Office Location

Street Address 1400 TENNESSEE ST UNIT 3
City SAN FRANCISCO
State CA
Zip Code 94107-3421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740757152 Katy Ann Lackey Social Worker 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 2018-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969745 Munashe Blessing Kaseke Pharmacist 1400 Tennessee St, Suite #2, San Francisco, CA 94107 2020-07-11
1598380891 Alina Marshall Technician, Other 795 Folsom Street, 1st Floor, San Francisco, CA 94107 2020-06-11
1316582141 Orapin Horst Dental Corporation Dentist 238 Shipley Street, San Franciscoq, CA 94107 2019-11-15
1497225239 Jennifer Mclean Physical Medicine & Rehabilitation 105 Freelon St. #7, San Francisco, CA 94107 2018-12-04
1689183725 Joyce Elizabeth Jacobs Specialist Sommhs, 760 Harrison Street, San Francisco, CA 94107 2017-09-20
1346767357 Brittani A Toy Technician, Other 795 Folsom St. 1st Floor, San Francisco, CA 94107 2017-08-29
1942746276 Marija Colic Behavioral Analyst 795 Folsom Street, San Francisco, CA 94107 2017-01-10
1861840340 Calvin Shapses Internal Medicine 730 Harrison Street, Suite 100, San Francisco, CA 94107 2016-05-25
1568857290 Loop Optometry Optometrist 252 5th Street, San Francisco, CA 94107 2015-03-31
1174914147 Jake Wood Putnam Bagley Physical Therapist 303 2nd St Ste 115c, San Francisco, CA 94107 2015-02-12
Find all providers in zip 94107

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679192116 Elemental Health Clinic/Center 230 Central Ave Apt 11, San Francisco, CA 94117-2052 2020-04-14
1134639388 Theresa C. Kira, Psyd, A Psychological Corporation Clinic/Center 870 Market St Ste 800, San Francisco, CA 94102-2903 2017-10-02
1043578198 Healthright 360 Clinic/Center 555 Franklin St, San Francisco, CA 94102-4456 2012-04-26
1295092815 Healthright 360 Clinic/Center 2290 14th Ave, San Francisco, CA 94116-1841 2012-04-20
1265638159 University of Califronia, San Francisco Clinic/Center 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, CA 94110 2007-06-26
1740486315 University of California, San Francisco Clinic/Center 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 2007-06-21
1356749279 Masonic Center for Youth and Families Clinic/Center 6 Funston Ave, San Francisco, CA 94129 2014-12-09
1104198670 St Marys Medical Center Clinic/Center 450 Stanyan St, San Francisco, CA 94117-1019 2012-01-31
1174729065 University of California, San Francisco Clinic/Center 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110 2007-06-26
1811072796 Edgewood Center for Children and Families Clinic/Center 1801 Vicente St, San Francisco, CA 94116-2923 2006-10-26
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94107

Improve Information

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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.

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