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MASONIC CENTER FOR YOUTH AND FAMILIES
NPI 1356749279
Clinic/Center - Adolescent and Children Mental Health in San Francisco, CA

Active since December 09, 2014
6 FUNSTON AVE, SAN FRANCISCO, CA 94129(415) 929-3001 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masonic Center For Youth And Families NPPES

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

MASONIC CENTER FOR YOUTH AND FAMILIES (NPI 1356749279) is a healthcare organization registered as an adolescent and children mental health in San Francisco, California and active in the NPI registry since December 2014. The organization lists Susanna Bonetti, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1356749279
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMASONIC CENTER FOR YOUTH AND FAMILIES
Location Address6 FUNSTON AVESan Francisco, CA 94129
Mailing Address6 Funston AveSan Francisco, CA 94129-1109 · (415) 929-3001
Phone(415) 929-3001
Organization SubpartYesParent: Masonic Homes Of California
Authorized OfficialSusanna BonettiAdministrative Director · (415) 929-3001
Enumeration DateDecember 9, 2014
✔ NPI 1356749279 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
License✔ Licensed in CA · 550001484
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.
6 FUNSTON AVE, San Francisco, CA 94129
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANNON JAWAHAR DODANI PSYD
Psychologist
6 FUNSTON AVE
SAN FRANCISCO, CA 94129
San Francisco County (415) 929-3000
KIERNAN WARBLE LCSW
Counselor (Mental Health)
6 FUNSTON AVE
SAN FRANCISCO, CA 94129
San Francisco County (415) 929-3017
ANTONIA SERVAT M.A., LMFT
Marriage & Family Therapist
6 FUNSTON AVE
SAN FRANCISCO, CA 94129
San Francisco County (415) 844-9341

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 Masonic Center For Youth And Families's NPI number?

The NPI number for Masonic Center For Youth And Families is 1356749279. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Masonic Center For Youth And Families located?

Masonic Center For Youth And Families is located at 6 Funston Ave, San Francisco, CA 94129. The listed phone number is (415) 929-3001.

What is Masonic Center For Youth And Families'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 Masonic Center For Youth And Families was last updated on December 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.