EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1275637274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275637274 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Other Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Practice Address |
1801 Vicente St Bldgs. A, D, H, L, M, P, S, W San Francisco CA 94116 |
| Mailing Address |
1801 Vicente St San Francisco CA 94116-2923 |
| Practice Telephone | 4156813211 |
| Practice Fax Number | 4156647094 |
| Mailing Telephone | 4156813211 |
| Mailing Fax Number | 4156647094 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | AMERICA MARIA GRAJEDA (DIRECTOR QUALITY IMPROVEMENT) |
| Authorized Official Telephone | 4156823175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 380500183 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Edgewood Center for Children and Families | Doing Business As Name - Organization |
| Edgewood The San Francisco Protestant Orphanage | Doing Business As Name - Organization |
| 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 |
| 1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
| 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 |
| Street Address |
1801 VICENTE ST BLDGS. A, D, H, L, M, P, S, W |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253721 | Deborah Ernestine Kopec | Registered Nurse | 1801 Vicente St, Edgewood Center for Children and Families, San Francisco, CA 94116-2923 | 2006-09-08 |
| 1235730375 | Nadia Lynn Rohlfs | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-11-05 |
| 1396344255 | Hillary Chu | Registered Nurse | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-21 |
| 1285233353 | Thais Schwab | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-20 |
| 1205434081 | Danyel Janet Kizzie Cheathon | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-13 |
| 1063010072 | Ariel Jaynus De Vera Buendia | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-12 |
| 1902404916 | Rachael Ann Wolf | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-12 |
| 1073120556 | Rezia Pearl Leopando | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-28 |
| 1982211546 | Lauren Marie Barretto | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-28 |
| 1295342384 | Sarah Kral | Marriage & Family Therapist | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275972 | Eric Lee | Behavior Technician | 2000 43rd Ave, San Francisco, CA 94116 | 2020-01-31 |
| 1376103176 | Young-in Kim | Physical Therapist | 3401 Taraval St, San Francisco, CA 94116 | 2019-06-14 |
| 1952806408 | Ramirez & Xia Dental Corp. | Dentist | 2409 Taraval St., San Francisco, CA 94116 | 2018-03-27 |
| 1043739337 | Cindi Lam | Community Health Worker | 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 | 2017-09-18 |
| 1043735442 | Tammy Marie Buhler | Community Health Worker | 1990 41st Avenue, San Francisco, CA 94116 | 2017-08-07 |
| 1457875015 | Janet Bilafer-steiner | Nurse Practitioner | 2935 Travel Street, San Francisco, CA 94116 | 2017-07-26 |
| 1790225811 | Christopher Valles-martinez | Counselor | 1801 Vicente St, San Francisco, CA 94116 | 2017-03-08 |
| 1033659578 | Emiko Perez | Technician, Other | 2235 31st Ave, San Francisco, CA 94116 | 2017-03-02 |
| 1982070249 | Elizabeth Ancker | Counselor | 1800 Vicente Street, San Francisco, CA 94116 | 2015-08-20 |
| 1922432608 | Toby Wai Chang | Pharmacist | 2354 32nd Ave, San Francisco, CA 94116 | 2013-08-29 |
| Find all providers in zip 94116 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134650070 | Nalls Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 131 Persia Ave, San Francisco, CA 94112-2717 | 2017-03-22 |
| 1568742823 | Edgewood Center | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente Ave, San Francisco, CA 94116 | 2011-08-18 |
| 1942469705 | Jory Daniel Linzer Zalona | Residential Treatment Facility, Emotionally Disturbed Children | 1814 Divisadero St, San Francisco, CA 94115-2517 | 2008-06-06 |
| 1093973679 | Amanda Marie Oswalt | Residential Treatment Facility, Emotionally Disturbed Children | 1062 Fulton St Apt 2, San Francisco, CA 94117-1627 | 2008-05-30 |
| 1043626617 | Samantha Mccants | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2014-07-03 |
| 1265865240 | Edgewood | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2013-08-14 |
| 1528386117 | Edge Wood | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente Street, San Francisco, CA 94116 | 2010-05-07 |
| 1235365883 | Noam Scott | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2009-06-09 |
| 1932341716 | Edgewood Center | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2009-03-25 |
| 1801056395 | Edgewood | Residential Treatment Facility, Emotionally Disturbed Children | 1801 Vicente St, San Francisco, CA 94116-2923 | 2008-06-10 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94116 |
Please comment or provide details below to improve the information on EDGEWOOD CENTER FOR CHILDREN AND FAMILIES.
| 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.