ST VINCENTS
NPI 1225327786
Residential Treatment Facility, Emotionally Disturbed Children in San Rafael, CA

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since April 05, 2011

1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-2000 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Primary Taxonomy
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Organization
Residential Treatment Facility, Emotiona...

About ST VINCENTS

This page provides the complete NPI Profile along with additional information for St Vincents, a provider established in San Rafael, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1225327786 assigned on April 2011. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Angela Lopez (Family Specialist)

NPI: 1225327786 Verify this NPI
Provider Name: ST VINCENTS
Entity Type: Organization
Location Address: 1 SAINT VINCENTS DR SAN RAFAEL, CA 94903
Location Phone: (415) 507-2000
Mailing Address: 154 IRIS RD HERCULES, CA 94547
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-05-2011
Last Update Date: 04-05-2011
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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: Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Code: 322D00000X
Type: Residential Treatment Facilities
Taxonomy Description: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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: ANGELA LOPEZ
Authorized Official Title: FAMILY SPECIALIST
Authorized Official Phone: (415) 507-2000