MOUNT ST. JOSEPH-ST. ELIZABETH (NPI# 1710037650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710037650 |
| Entity Type | Organization |
| Organization Name | MOUNT ST. JOSEPH-ST. ELIZABETH |
| Other Organization Name | EPIPHANY HOUSE |
| Practice Address |
1615 Broderick St San Francisco CA 94115-2912 |
| Mailing Address |
100 Masonic Ave San Francisco CA 94118-4415 |
| Practice Telephone | 4155678370 |
| Practice Fax Number | 4152925531 |
| Mailing Telephone | 4155678370 |
| Mailing Fax Number | 4152925531 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | SISTER ESTELA MORALES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4153514045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 380081BN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Epiphany House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952449316 | Mount St. Joseph-st. Elizabeth | Substance Abuse Rehabilitation Facility | 100 Masonic Ave, San Francisco, CA 94118-4415 | 2007-02-01 |
| 1699825521 | Mount St. Joseph-st. Elizabeth | Community/Behavioral Health | 100 Masonic Ave, San Francisco, CA 94118-4415 | 2007-01-11 |
| Street Address |
1615 BRODERICK ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518414150 | Tanya Mcspadden Jamaica | Substance Abuse Rehabilitation Facility | 255 10th Avenue, San Francisco, CA 94118 | 2016-09-01 |
| 1770859647 | Michael L. Red | Substance Abuse Rehabilitation Facility | 637 So. Van Ness Ave., San Francisco, CA 94110 | 2012-03-26 |
| 1902124027 | Healthright 360 | Substance Abuse Rehabilitation Facility | 625 13th St, San Francisco, CA 94130-2005 | 2010-05-13 |
| 1053576694 | Salvation Army Harbor Light Center | Substance Abuse Rehabilitation Facility | 1275 Harrison Street, San Francisco, CA 94103 | 2008-07-23 |
| 1619171337 | Michael A Huff | Substance Abuse Rehabilitation Facility | 564 6th St, San Francisco, CA 94103-4708 | 2007-06-14 |
| 1578778130 | Community Awareness & Treatment Services | Substance Abuse Rehabilitation Facility | 1446 Market St, San Francisco, CA 94102-6004 | 2007-05-14 |
| 1750596300 | Center On Juvenile and Criminal Justice | Substance Abuse Rehabilitation Facility | 40 Boardman Pl, San Francisco, CA 94103-4729 | 2007-05-14 |
| 1619182409 | Community Awareness & Treatment Services, Inc. | Substance Abuse Rehabilitation Facility | 637 S Van Ness Ave, San Francisco, CA 94110-1305 | 2007-05-14 |
| 1619007986 | A Woman's Place | Substance Abuse Rehabilitation Facility | 1049 Howard St, San Francisco, CA 94103-2822 | 2007-03-06 |
| 1619018314 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2007-02-08 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on MOUNT ST. JOSEPH-ST. ELIZABETH.
| 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.