EDGEWOOD CENTER FOR CHILDREN AND FAMILIES (NPI# 1811072796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811072796 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD CENTER FOR CHILDREN AND FAMILIES |
| Practice Address |
1801 Vicente St San Francisco CA 94116-2923 |
| Practice Telephone | 4156813211 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | MATT MADAUS (CEO) |
| Authorized Official Telephone | 4156813211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| Street Address |
1801 VICENTE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94116-2923 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192116 | Elemental Health | Clinic/Center | 230 Central Ave Apt 11, San Francisco, CA 94117-2052 | 2020-04-14 |
| 1134639388 | Theresa C. Kira, Psyd, A Psychological Corporation | Clinic/Center | 870 Market St Ste 800, San Francisco, CA 94102-2903 | 2017-10-02 |
| 1043578198 | Healthright 360 | Clinic/Center | 555 Franklin St, San Francisco, CA 94102-4456 | 2012-04-26 |
| 1295092815 | Healthright 360 | Clinic/Center | 2290 14th Ave, San Francisco, CA 94116-1841 | 2012-04-20 |
| 1265638159 | University of Califronia, San Francisco | Clinic/Center | 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, CA 94110 | 2007-06-26 |
| 1740486315 | University of California, San Francisco | Clinic/Center | 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 | 2007-06-21 |
| 1760031314 | The Healthy Teen Project, Inc. | Clinic/Center | 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 | 2019-09-06 |
| 1356749279 | Masonic Center for Youth and Families | Clinic/Center | 6 Funston Ave, San Francisco, CA 94129 | 2014-12-09 |
| 1104198670 | St Marys Medical Center | Clinic/Center | 450 Stanyan St, San Francisco, CA 94117-1019 | 2012-01-31 |
| 1174729065 | University of California, San Francisco | Clinic/Center | 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110 | 2007-06-26 |
| 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.