MS. TYLISHA BERRY (NPI# 1053697540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053697540 |
| Entity Type | Individual |
| Full Name | MS. TYLISHA BERRY |
| Practice Address |
1254 13th St Unit B San Francisco CA 94130-1005 |
| Practice Telephone | 4159862314 |
| Practice Fax Number | 4154020413 |
| Mailing Telephone | 4159862314 |
| Mailing Fax Number | 4154020413 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1254 13TH ST UNIT B |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94130-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750750295 | Ellajean Polk | Counselor | 852 Ave D, San Francisco, CA 94130 | 2015-09-15 |
| 1528183183 | Kristopher David Mcghee | Technician, Other | Cg Sector San Francisco, Bldg 1, Yerba Buena Island, San Francisco, CA 94130 | 2007-03-20 |
| 1891302683 | Carol Clarke Jones | Technician, Other | 1 Hillcrest Rd, Quarters B, San Fransisco, CA 94130 | 2020-09-25 |
| 1508966490 | Kyi Win | Internal Medicine | 1490 Mason St, San Francisco, CA 94130 | 2006-09-22 |
| 1033385562 | Jill M Massaro | Counselor | 1254 13th St, Apartment B, San Francisco, CA 94130-1005 | 2008-05-05 |
| 1659646685 | Home Health Ect | Foster Care Agency | 1226 Bayside Dr Unit F, Unit F, San Francisco, CA 94130-1121 | 2012-03-08 |
| 1336490358 | Daniel Horowitz | Counselor | 1212 Mariner Dr Unit E, San Francisco, CA 94130-1205 | 2012-10-01 |
| 1265070767 | Healthright 360 | Clinic/Center | 1202 Mariner Dr, San Francisco, CA 94130-1210 | 2019-12-16 |
| 1083224604 | Vilma Rizzo | Community Health Worker | 1318 Gateview Ave, San Francisco, CA 94130-1418 | 2020-08-07 |
| 1467829374 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1318 Gateview Ave # Ti, San Francisco, CA 94130-1418 | 2015-08-26 |
| Find all providers in zip 94130 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94130 |
Please comment or provide details below to improve the information on MS. TYLISHA BERRY.
| 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.