DESICOUCH (NPI# 1053633198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053633198 |
| Entity Type | Organization |
| Organization Name | DESICOUCH |
| Practice Address |
61 Airport Blvd. Ste. C South San Francisco CA 94080 |
| Mailing Address |
61 Airport Blvd Ste. C South San Francisco CA 94080-6522 |
| Practice Telephone | 4152674850 |
| Practice Fax Number | 4152674850 |
| Mailing Telephone | 4152674850 |
| Mailing Fax Number | 4152674850 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MISS DESDEMONIA WHITTLE (PRESIDENT) |
| Authorized Official Telephone | 4152674850 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 43971 | CA | Agencies |
| Street Address |
61 AIRPORT BLVD. STE. C |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| 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 |
|---|---|---|---|---|
| 1336438621 | Healthright 360 | Community/Behavioral Health | 650 Sunset Ave, South San Francisco, CA 94080-7343 | 2011-04-07 |
| 1568506244 | Aspiranet | Community/Behavioral Health | 400 Oyster Point Blvd, Suite 501, South San Francisco, CA 94080-1904 | 2007-02-16 |
| 1578053377 | Unity Care Group, Inc. | Community/Behavioral Health | 403 W Orange Ave, South San Francisco, CA 94080-4443 | 2018-05-16 |
| 1013389725 | Edgewood Center for Children and Families | Community/Behavioral Health | 170 S Spruce Ave, Suite 250, South San Francisco, CA 94080 | 2015-10-21 |
| 1154753861 | Jaime Hernandez | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2013-08-05 |
| 1457646960 | Sitike,inc | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2011-06-13 |
| 1477700052 | Telecare Corporation | Community/Behavioral Health | 1475 Huntington Ave Ste 150, South San Francisco, CA 94080-5975 | 2008-08-26 |
| 1568582526 | Ymca of San Francisco | Community/Behavioral Health | 1486 Huntington Ave, South San Francisco, CA 94080-5970 | 2007-03-30 |
| 1265563688 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-08 |
| 1134250913 | Healthright 360 | Community/Behavioral Health | 1115 Mission Rd, South San Francisco, CA 94080-1302 | 2007-03-07 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
Please comment or provide details below to improve the information on DESICOUCH.
| 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.