ST. MARY'S MEDICAL CENTER (NPI# 1235278763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235278763 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL CENTER |
| Practice Address |
450 Stanyan St Mcauley Adolescent Day Treatment 3n San Francisco CA 94117-1079 |
| Practice Telephone | 4157505637 |
| Practice Fax Number | 4157504912 |
| Mailing Telephone | 4157505637 |
| Mailing Fax Number | 4157504912 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANA R ZOLLER (CASE MANAGER & FAMILY THERAPIST) |
| Authorized Official Telephone | 4157505637 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 47715 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144507708 | St. Mary's Medical Center | Home Health | 1001 Kenwood Avenue, Duluth, MN 55811-2370 | 2011-11-10 |
| 1043245921 | St. Mary's Medical Center | Home Health | 516 E 4th St, Duluth, MN 55805-1936 | 2006-07-11 |
| 1598112351 | St. Mary's Medical Center | Psychiatric Unit | 450 Stanyan St, San Francisco, CA 94117-1019 | 2016-05-20 |
| 1982088902 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2015-07-20 |
| 1013933936 | St. Mary's Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-07-14 |
| 1225089634 | St. Mary's Medical Center | Hospice Care, Community Based | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-05-12 |
| 1558356709 | St. Mary's Medical Center | Rehabilitation Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-09-14 |
| 1487656054 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | St. Mary's Medical Center PLC | 430 West Stuart Dr, Hillsville, Virginia 24343 |
| System for Award Management (SAM) Entities | ST. MARY'S MEDICAL CENTER, INC. | 2900 First Ave, Huntington, WV 25702-1241 |
| Street Address |
450 STANYAN ST MCAULEY ADOLESCENT DAY TREATMENT 3N |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435762 | Marc K. Wakasa | Physical Medicine & Rehabilitation | 450 Stanyan St, # 658, San Francisco, CA 94117-1079 | 2005-05-27 |
| 1649891250 | Alexander Rosinski | Orthopaedic Surgery | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-05-05 |
| 1952922940 | Andrea Nicole Rowland | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1245851237 | Ishan Devang Shah | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1568081073 | Roxana Garcia | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-14 |
| 1316566060 | Elizabeth Phillips | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1336768084 | Claire Baniel | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1982223608 | Wing Ken Wong | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1508485277 | Anthony T Nguyen | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1073132023 | Lewis Philip Schendowich | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-10 |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1902342793 | Ucsf | Psychiatric Hospital | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2017-01-17 |
| 1558805440 | Ucsf | Psychiatric Hospital | 982 Mission St, San Francisco, CA 94103-2911 | 2016-12-12 |
| 1174750400 | Langley Porter Psychiatric Clinic | Psychiatric Hospital | 401 Parnassus Ave, San Francisco, CA 94143-2211 | 2009-06-13 |
| 1033306428 | University of California, San Francisco | Psychiatric Hospital | 401 Parnassus Ave, San Francisco, CA 94143-2211 | 2007-09-28 |
| 1689867343 | Ucsf | Psychiatric Hospital | 401 Parnassus Ave, San Francisco, CA 94143-2211 | 2007-08-24 |
| 1073652590 | City and County of San Francisco | Psychiatric Hospital | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2007-02-05 |
| 1407900095 | University of California San Francisco | Psychiatric Hospital | 401 Parnassus Ave, San Francisco, CA 94143-2211 | 2007-01-22 |
| 1457402380 | Sf General Hospital | Psychiatric Hospital | 1001 Potrero Ave, Suite 7m, San Francisco, CA 94110-3518 | 2007-01-16 |
| 1083648810 | City & County of San Francisco | Psychiatric Hospital | 1001 Potrero Ave, Bldg 5, 25, 80, 90 and Bldg 5 Ward 1b, San Francisco, CA 94110-3518 | 2006-07-10 |
| 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.