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MISS CHARLENE JADE CRISOSTOMO PREMYODHIN
NPI 1225249071
Community/Behavioral Health in San Francisco, CA

Active since May 24, 2007
312 PLYMOUTH AVE, SAN FRANCISCO, CA 94112(714) 452-7776(415) 776-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Charlene Jade Crisostomo Premyodhin NPPES

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

MISS CHARLENE JADE CRISOSTOMO PREMYODHIN (NPI 1225249071) is an individual community/behavioral health provider in San Francisco, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225249071
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMISS CHARLENE JADE CRISOSTOMO PREMYODHIN
Location Address312 PLYMOUTH AVESan Francisco, CA 94112-3026
Mailing Address312 Plymouth AveSan Francisco, CA 94112-3026
Phone(714) 452-7776
Fax(415) 776-1006
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225249071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
312 PLYMOUTH AVE, San Francisco, CA 94112
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Other Identifiers 1

Medicaid38BF3CA

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 Charlene Jade Premyodhin's NPI number?

The NPI number for Charlene Jade Premyodhin is 1225249071. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Charlene Jade Premyodhin located?

Charlene Jade Premyodhin practices at 312 Plymouth Ave, San Francisco, CA 94112. The listed phone number is (714) 452-7776.

What is Charlene Jade Premyodhin's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Charlene Jade Premyodhin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.