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CAPUCHINO TDS
NPI 1063939171
Clinic/Center - Adolescent and Children Mental Health in San Bruno, CA

Active since August 29, 2017
1501 MAGNOLIA AVE, SAN BRUNO, CA 94066(650) 558-2778 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Mar 12, 2020, Aug 29, 2017 (3 updates tracked since 2017).

About Capuchino Tds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPUCHINO TDS (NPI 1063939171) is a healthcare organization registered as an adolescent and children mental health in San Bruno, California and active in the NPI registry since August 2017. The organization lists Jei Africa, Director, as its authorized official.

NPPES Registry Identity

NPI1063939171
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSAN MATEO COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
Location Address1501 MAGNOLIA AVESan Bruno, CA 94066-5451
Mailing Address1501 Magnolia AveSan Bruno, CA 94066-5451
Phone(650) 558-2778
Organization SubpartYesParent: County Of San Mateo
Authorized OfficialJei AfricaDirector · (650) 613-2155
Enumeration DateAugust 29, 2017
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1063939171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
1501 MAGNOLIA AVE, San Bruno, CA 94066
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Other Names 1

Doing Business AsCapuchino Tds

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Mateo County Behavioral Health And Recovery Services's NPI number?

The NPI number for San Mateo County Behavioral Health And Recovery Services is 1063939171. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is doing business as Capuchino Tds.

Where is San Mateo County Behavioral Health And Recovery Services located?

San Mateo County Behavioral Health And Recovery Services is located at 1501 Magnolia Ave, San Bruno, CA 94066. The listed phone number is (650) 558-2778.

What is San Mateo County Behavioral Health And Recovery Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for San Mateo County Behavioral Health And Recovery Services was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.