WESTSIDE COMMUNITY MENTAL HEALTH, INC. (NPI# 1902962400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902962400 |
| Entity Type | Organization |
| Organization Name | WESTSIDE COMMUNITY MENTAL HEALTH, INC. |
| Other Organization Name | WESTSIDE AIDS CASE MANAGEMENT AND HOME CARE |
| Practice Address |
245 11th St Third Floor San Francisco CA 94103-3732 |
| Mailing Address |
1153 Oak St San Francisco CA 94117-2216 |
| Practice Telephone | 4153550311 |
| Practice Fax Number | 4153550349 |
| Mailing Telephone | 4154319000 |
| Mailing Fax Number | 4154311813 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | MRS. BEA STEPHENS (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4154319000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTSIDE COMMUNITY MENTAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AYD000280 | 05 |
| Other Name | Type Code |
|---|---|
| Westside AIDS Case Management and Home Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861694 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1301 Pierce St, San Francisco, CA 94115-4005 | 2006-12-28 |
| 1902962798 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 245 11th Street, San Francisco, CA 94103 | 2006-12-28 |
| 1568528040 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1663 Mission St Ste 310, San Francisco, CA 94103-2486 | 2006-12-28 |
| 1912063496 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 1140 Oak St, San Francisco, CA 94117-2217 | 2006-12-28 |
| 1588720288 | Westside Community Mental Health, Inc. | Community/Behavioral Health | 245 11th St, Third Floor, San Francisco, CA 94103-3732 | 2006-12-28 |
| Street Address |
245 11TH ST THIRD FLOOR |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1609473735 | Ethan Huffman | Nurse Practitioner | 245 11th St, San Francisco, CA 94103-3732 | 2020-10-01 |
| 1700492212 | Janice K Yu | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-09-21 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1942834692 | Azizi Shautay Gupton | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-03-02 |
| 1649818295 | Marquita Thomas | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-12-13 |
| 1467094383 | Roshawn Mathews | Licensed Vocational Nurse | 245 11th St, San Francisco, CA 94103-3732 | 2019-10-11 |
| 1215595012 | Chenice A Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1215498670 | Tiffany M Andrade | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-28 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1578181939 | Rombot, Inc. | Home Health | 461 Bryant St, San Francisco, CA 94107-1316 | 2020-07-10 |
| 1447745005 | Verat Home Health Ca, LLC | Home Health | 2 Embarcadero Ctr Fl 8, San Francisco, CA 94111-3833 | 2018-06-26 |
| 1881197051 | Sitasma Inc | Home Health | 2555 Ocean Ave Ste 205, San Francisco, CA 94132-1645 | 2018-03-14 |
| 1295236156 | Epione Health Services LLC | Home Health | 1298 Palou Ave, San Francisco, CA 94124-3333 | 2018-02-26 |
| 1922511807 | Incare Home Care, LLC | Home Health | 2787 California St Ste B, San Francisco, CA 94115-2500 | 2017-11-14 |
| 1114443272 | Elizabeth I Nnodim | Home Health | 1383 Bacon St, San Francisco, CA 94134-1639 | 2017-08-20 |
| 1912423542 | Jerome Rufin | Home Health | 2163 16th Ave, San Francisco, CA 94116-1846 | 2017-08-15 |
| 1306380043 | Care Indeed Home Health Care, Inc. | Home Health | 1935 Divisadero Street, San Francisco, CA 94115 | 2016-12-15 |
| 1154874295 | Pro Caregivers | Home Health | 1755 San Jose Ave, San Francisco, CA 94112-1954 | 2016-07-25 |
| 1326404864 | Unity Care | Home Health | 2735 Turk Blvd, San Francisco, CA 94118-4345 | 2016-01-14 |
| Find all providers in SAN FRANCISCO | ||||
| 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.