EDGEWOOD CENTER FOR CHILDREN AND FAMILIES


Address: 1801 Vicente St, San Francisco, CA 94116-2923
Phone: 4156823139

EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1578627840) 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) 1578627840
Entity Type Organization
Organization Name EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Practice Address 1801 Vicente St
San Francisco
CA 94116-2923
Mailing Address 2592 Buena Vista Way
Berkeley
CA 94708-1950
Practice Telephone 4156823139
Mailing Telephone 5104957787
Enumeration Date 2006-12-21
Last Update Date 2020-08-22
Authorized Official Name MS. BRANDI A PLUMLEY (THERAPIST AND CARE MANAGER)
Authorized Official Telephone 4156823139
Authorized Official Credential MFTI
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 47331 CA Residential Treatment Facilities

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
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
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 1801 VICENTE ST
City SAN FRANCISCO
State CA
Zip Code 94116-2923

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SAN FRANCISCO
Zip Code 94116

Improve Information

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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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