MOUNT ST JOSEPH NPI 1003010695

Community Based Residential Treatment Facility, Mental Illness in San Francisco, CA

NPI 1003010695 Organization Community Based Residential Treatment Fa...

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 one year 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


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

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
The code describing 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.