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

NPI Status: Active since June 14, 2007

Contact Information

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

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 05D2107619
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 01-18-2026

About MOUNT ST JOSEPH

Mount St Joseph is a provider established in San Francisco, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1003010695 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 4 years ago. The authorized official of this NPI record is Vanessa Leila Kahlon (Intern)

NPI
1003010695
Provider Name
MOUNT ST JOSEPH
Entity Type
Organization
Location Address
100 MASONIC AVE SAN FRANCISCO, CA 94118
Location Phone
(415) 567-8370
Mailing Address
100 MASONIC AVE SAN FRANCISCO, CA 94118
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-14-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VANESSA LEILA KAHLON

Authorized Official Title
INTERN
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 this NPI number is:

CLIA Number
05D2107619
Facility Type
Other - RESIDENTIAL RECOVERY SETT
Certificate Effective Date
January 19, 2024
Certificate Expiration Date
January 18, 2026
Certificate Type
Certificate of Waiver
Certificate Type Description
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.

Reviews for MOUNT ST JOSEPH

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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
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
1952449316MOUNT ST. JOSEPH-ST. ELIZABETH
Organization
Substance Abuse Rehabilitation Facility100 MASONIC AVE
SAN FRANCISCO, CA 94118
(415) 567-8370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003010695, enumerated in the NPI registry as an "organization" on June 14, 2007

The provider is located at 100 Masonic Ave San Francisco, Ca 94118 and the phone number is (415) 567-8370

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

The provider's CLIA number is 05D2107619 for a "other - residential recovery sett" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on June 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.