MOUNT ST JOSEPH NPI 1003010695
Community Based Residential Treatment Facility, Mental Illness in San Francisco, CA

Organization Community Based Residential Treatment Fa... CLIA Number 05D2107619 CLIA Certificate of Waiver

About MOUNT ST JOSEPH

Mount St Joseph is a provider established in San Francisco, California specializing in Community Based Residential Treatment Facility, Mental Illness. The NPI number of Mount St Joseph is 1003010695 and was assigned on June 2007. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Vanessa Leila Kahlon (Intern)

NPI
1003010695
Provider NameMOUNT ST JOSEPH
Provider Location Address100 MASONIC AVE SAN FRANCISCO, CA 94118
Provider Mailing Address100 MASONIC AVE SAN FRANCISCO, CA 94118
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-14-2007
Last Update Date08-22-2020



The CLIA number of Mount St Joseph is 05D2107619 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Mount St Joseph to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

Taxonomy Code320800000X
ClassificationCommunity Based Residential Treatment Facility, Mental Illness
TypeResidential Treatment Facilities
Taxonomy DescriptionA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Business Address

MOUNT ST JOSEPH
100 MASONIC AVE
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 567-8370

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Mailing Address

MOUNT ST JOSEPH
100 MASONIC AVE
SAN FRANCISCO, CA
ZIP 94118
Phone:


Authorized Official

Authorized Official Name VANESSA LEILA KAHLON
Authorized Official TitleINTERN
Authorized Official Phone(415) 351-4045

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003010695 is:

CLIA Number05D2107619
Facility TypeOTHER
Certificate TypeCertificate of Waiver

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003010618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 6 + 1 + 8 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003010695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386781912MRS. DEBORAH LEE HODGES
Individual
Counselor (Addiction (Substance Use Disorder))100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1710024369 MELISSA C BELBAHRI R.N. PHN
Individual
Registered Nurse (Pediatrics)100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 351-4048
1548307093 LINDA M. PEREZ PH.D.
Individual
Psychologist100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1285771899 KAREN BANKS
Individual
Counselor (Addiction (Substance Use Disorder))100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 351-4052
1487791877MS. FRAN KEARNEY
Individual
Counselor (Addiction (Substance Use Disorder))100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1811180250 MARLIN DARBY
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1093908444 BIANCA LOUISE BALL
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1265625602 SANDRA RAMIREZ
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1114111424 NADRA HANNAH
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1093972051 GINA SULPRIZIO
Individual
Social Worker100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1699933358 DEBORAH WHITE
Individual
Social Worker100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1730342999MT. ST. JOSEPH-ST. ELIZABETH
Organization
Substance Abuse Rehabilitation Facility100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1952532053MOUNT SAINT JOSEPH AND ELIZABETH
Organization
Community/Behavioral Health100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1841517380EPIPHANY
Organization
Substance Abuse Rehabilitation Facility100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1801114244MISS LYDIA PAREDES
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(510) 567-8370
1851619159 LATANYA JANET DANDIE
Individual
Case Manager/Care Coordinator100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1659678134 ANDREA POLLOCK
Individual
Social Worker100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1205133774 ALISEA WESLEY-CLARK
Individual
Social Worker100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1124365465 ANA SOFIA CASTILLO LCSW
Individual
Social Worker (Clinical)100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370
1811067978MS. DIANE BOONE SCARRITT LCSW, ACSW, MSW
Individual
Social Worker (Clinical)100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 351-4055

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mount St Joseph is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.