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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
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 |
Street Address |
1400 TENNESSEE ST UNIT 3 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94107-3421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740757152 | Katy Ann Lackey | Social Worker | 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 | 2018-10-24 |
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 Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
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] |
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 |
City | SAN FRANCISCO |
Zip Code | 94107 |
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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.