IRIS CENTER (NPI# 1659628220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659628220 |
| Entity Type | Organization |
| Organization Name | IRIS CENTER |
| Practice Address |
12 Gough St San Francisco CA 94103-1290 |
| Mailing Address |
12 Gough St San Francisco CA 94103 |
| Practice Telephone | 4158640116 |
| Mailing Telephone | 4158640116 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | PAMELA V GRIMM (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4158642364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114074739 | Iris Center | Counselor | 333 Valencia St Ste 222, San Francisco, CA 94103-3551 | 2007-01-04 |
| 1740339290 | Iris Center | Social Worker | 333 Valencia St, Suite 222, San Francisco, CA 94103-3547 | 2007-01-10 |
| 1568519981 | Iris Center | Counselor | 333 Valencia St, Suite 222, San Francisco, CA 94103-3547 | 2007-01-05 |
| 1871640938 | Iris Center | Counselor | 333 Valencia St, Suite 222, San Francisco, CA 94103-3547 | 2007-01-04 |
| 1629125794 | Iris Center | Counselor | 333 Valencia St, Suite 222, San Francisco, CA 94103-3547 | 2007-01-04 |
| Street Address |
12 GOUGH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205983269 | Iris Center: Women's Counseling and Recovery Services | Counselor | 12 Gough St, First Floor, San Francisco, CA 94103-1290 | 2007-01-04 |
| 1619300712 | Geraldine Marie Lang | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2013-08-13 |
| 1174967418 | Larry E Gilbert | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2013-04-17 |
| 1205175411 | Jamie Lynn Jeffries | Community Health Worker | 12 Gough St, San Francisco, CA 94103-1290 | 2013-02-07 |
| 1497008106 | Darryl Britton Sims | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2012-10-18 |
| 1235486788 | Ericka Cecile Hurd | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2012-08-14 |
| 1093080574 | Julia Schindler | Counselor | 12 Gough St, First Floor, San Francisco, CA 94103-1290 | 2012-03-15 |
| 1487927232 | Kenya Clay Cyprien | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2012-02-09 |
| 1467724757 | Adrean Eyvonne Williams | Spec/Tech, Health Info | 12 Gough St, San Francisco, CA 94103-1290 | 2012-02-01 |
| 1417230632 | Jennifer C Moran | Counselor | 12 Gough St, San Francisco, CA 94103-1290 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1467829374 | Healthright 360 | Substance Abuse Rehabilitation Facility | 1318 Gateview Ave # Ti, San Francisco, CA 94130-1418 | 2015-08-26 |
| 1588700264 | The Latino Commission | Substance Abuse Rehabilitation Facility | 1724 Bryant St, San Francisco, CA 94110 | 2007-01-29 |
| 1265916696 | City & County of San Francisco | Substance Abuse Rehabilitation Facility | 555 Polk St, San Francisco, CA 94102-3333 | 2018-09-21 |
| 1538670211 | Felton Institute | Substance Abuse Rehabilitation Facility | 1500 Franklin St, San Francisco, CA 94109-4523 | 2017-10-20 |
| 1710434246 | Lucia Lopez-hecker | Substance Abuse Rehabilitation Facility | 255 10th Ave, San Francisco, CA 94118-2212 | 2016-09-01 |
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| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
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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.