EDGEWOOD CENTER FOR CHILDREN AND FAMILIES


Address: 604 Price Ave, Suite A and B, Redwood City, CA 94063
Phone: 6508326900

EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1003269994) 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) 1003269994
Entity Type Organization
Organization Name EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Other Organization Name EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Practice Address 604 Price Ave
Suite A and B
Redwood City
CA 94063
Mailing Address 957 Industrial Rd
Suite B
San Carlos
CA 94070-4151
Practice Telephone 6508326900
Mailing Telephone 6508326900
Enumeration Date 2016-07-15
Last Update Date 2018-07-02
Authorized Official Name AMERICA MARIA GRAJEDA (DIRECTOR QUALITY IMPROVEMENT)
Authorized Official Telephone 4156823175
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Edgewood Center for Children and Families Other Name - Individual/Organization
Edgewood the San Francisco Protestant Orphanage Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790131548 Edgewood Center for Children and Families Counselor 1112 Ingerson Ave, San Francisco, CA 94124-3514 2016-05-11
1861638652 Edgewood Center for Children and Families Community Based Residential Treatment Facility, Mental Illness 131 Sears St, San Francisco, CA 94112-4029 2008-12-29
1093920647 Edgewood Center for Children and Families Community/Behavioral Health 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 2007-05-14
1518310523 Edgewood Center for Children and Families Community/Behavioral Health 931 San Bruno Ave W, San Bruno, CA 94066 2016-07-14
1013389725 Edgewood Center for Children and Families Community/Behavioral Health 170 S Spruce Ave, Suite 250, South San Francisco, CA 94080 2015-10-21
1255744298 Edgewood Center for Children and Families Community/Behavioral Health 3801 3rd St, Suite 610/620, San Francisco, CA 94124-1446 2014-06-06
1386782340 Edgewood Center for Children and Families Voluntary or Charitable 1801 Vicente St, San Francisco, CA 94116-2923 2007-02-02
1578627840 Edgewood Center for Children and Families Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, San Francisco, CA 94116-2923 2006-12-21
1811072796 Edgewood Center for Children and Families Clinic/Center 1801 Vicente St, San Francisco, CA 94116-2923 2006-10-26
1275637274 Edgewood Center for Children and Families Residential Treatment Facility, Emotionally Disturbed Children 1801 Vicente St, Bldgs. A, D, H, L, M, P, S, W, San Francisco, CA 94116 2006-09-11

Office Location

Street Address 604 PRICE AVE
SUITE A AND B
City REDWOOD CITY
State CA
Zip Code 94063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255789095 Manith Thaing Counselor 604 Price Ave, Redwood City, CA 94063-1428 2016-06-02
1750881108 Maria Guadalupe Delgado Community Health Worker 604 Price Ave, Redwood City, CA 94063-1428 2018-02-12
1518472653 Kayla Mie Simonson Community Health Worker 604 Price Ave, Redwood City, CA 94063-1428 2017-12-12
1093252918 Mary Rose Arellano Counselor 604 Price Ave, Suite A, Redwood City, CA 94063-1428 2017-01-30
1093266637 Aldo Salvador Pantoja Counselor 604 Price Ave, Redwood City, CA 94062 2016-10-19
1477003465 Shelby Johnson Counselor 604 Price Ave, Redwood City, CA 94063-1428 2016-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578104378 Jade Francetich Psychologist 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 2019-10-02
1861052060 County of San Mateo Clinic/Center 1300 Maple St., Redwood City, CA 94063 2019-06-19
1750941977 County of San Mateo Clinic/Center 300 Bradford St., Redwood City, CA 94063 2019-06-19
1023678661 Linda K Watanabe Preventive Medicine 700 Bay Rd. #2803, Redwood City, CA 94063 2019-06-17
1235630369 Waverly Place Apartments, Lp Case Management 105 Waverly Place, Redwood City, CA 94063 2018-02-23
1306371679 Caely Alise Hambro Student in an Organized Health Care Education/Training Program Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 2017-04-25
1609316736 Justine Nicole Dela Cruz Nurse Practitioner 420 Broadway St # D, Redwood City, CA 94063 2017-03-08
1336683234 Babita Chopra Pharmacist 2300 Middlefield Road, Redwood City, CA 94063 2016-12-12
1073065595 Diana Genoveva Posner I Counselor 604 Prince Ave. Ste A, Redwood City, CA 94063 2016-11-01
1295288264 Benjamin Dickter Student in an Organized Health Care Education/Training Program 1107 2nd Ave, Apt 103, Redwood City, CA 94063 2016-07-26
Find all providers in zip 94063

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023569357 Catch Clinic Community/Behavioral Health 1694 Hampton Ave, Redwood City, CA 94061-2607 2016-10-21
1841566718 Mental Health Association of San Mateo County Community/Behavioral Health 104 Cedar St, Redwood City, CA 94063-2104 2012-03-26
1093095150 Starvista Community/Behavioral Health 609 Price Ave Ste 201, Redwood City, CA 94063-1403 2011-08-22
1467627034 Redeemer Lutheran Church Community/Behavioral Health 468 Grand St, Redwood City, CA 94062-2062 2008-04-24
1568561058 County of San Mateo Community/Behavioral Health 400 Edmonds Rd, Redwood City, CA 94062 2006-09-21
1356951750 Christina Lansdown Marriage and Family Therapy Community/Behavioral Health 1060 El Camino Real Ste H, Redwood City, CA 94063-1645 2020-07-31
1508495532 Medexpert International, Inc. Community/Behavioral Health 1300 Hancock St, Redwood City, CA 94063-2809 2020-04-02
1457807810 Adolescent Counseling Services Community/Behavioral Health 643 Bair Island Rd, #301, Redwood City, CA 94063-2754 2016-08-26
1528432481 San Mateo County Behavioral Health and Recovery Services Community/Behavioral Health 727 Shasta St, Redwood City, CA 94063-2124 2015-11-16
1336413947 Compass Community/Behavioral Health 617 Veterans Blvd Ste 204, Redwood City, CA 94063-1419 2012-02-28
Find all providers in REDWOOD CITY

Competitor

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City REDWOOD CITY
Zip Code 94063

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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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