WESTSIDE COMMUNITY MENTAL HEALTH, INC. (NPI# 1912063496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063496 |
| Entity Type | Organization |
| Organization Name | WESTSIDE COMMUNITY MENTAL HEALTH, INC. |
| Other Organization Name | WESTSIDE AJANI |
| Practice Address |
1140 Oak St San Francisco CA 94117-2217 |
| Mailing Address |
1153 Oak St San Francisco CA 94117-2216 |
| Practice Telephone | 4154318252 |
| Practice Fax Number | 4154313195 |
| 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 COMMUNITY 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 | 38CP | 05 | |
| CA | 89007 | 05 |
| Other Name | Type Code |
|---|---|
| Westside Ajani | 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 |
| 1588720288 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 245 11th St, Third Floor, San Francisco, CA 94103-3732 | 2006-12-28 |
| Street Address |
1140 OAK ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487739017 | Kia Sytanmia Wallace | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2006-10-25 |
| 1962818153 | Garry Malachi Scott | Community Health Worker | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-07-08 |
| 1689088239 | Monique Williams | Community Health Worker | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-06-11 |
| 1417376096 | Nathaniel Williams Jr. | Counselor | 1140 Oak St, San Francisco, CA 94117-2217 | 2014-04-10 |
| 1376884973 | Avonnet M Peeler | Technician, Health Information | 1140 Oak St, San Francisco, CA 94117-2217 | 2013-03-06 |
| 1477891174 | Maurice Forte | Marriage & Family Therapist | 1140 Oak St, 1140 Oak St, San Francisco, CA 94117-2217 | 2013-01-30 |
| 1780933929 | Kamailia Lynnette Williams | Marriage & Family Therapist | 1140 Oak St, San Francisco, CA 94117-2217 | 2012-09-04 |
| 1730403593 | Ebonee Joi Crawford | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2010-03-23 |
| 1902120769 | Stacey M Holt | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2010-03-23 |
| 1558595991 | Kimberly Grizzell | Case Manager/Care Coordinator | 1140 Oak St, San Francisco, CA 94117-2217 | 2009-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| 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 | 94117 |
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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.