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ELYSIAN STRTP COUNTY OF SAN MATEO
NPI 1730721929
Residential Treatment Facility, Emotionally Disturbed Children in San Mateo, CA

Active since October 09, 2019
31 TOWER RD, SAN MATEO, CA 94402(650) 312-5320(650) 572-2414 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Oct 24, 2019, Oct 9, 2019 (3 updates tracked since 2019).

About Elysian Strtp County Of San Mateo NPPES

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

ELYSIAN STRTP COUNTY OF SAN MATEO (NPI 1730721929) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in San Mateo, California and active in the NPI registry since October 2019. The organization lists Natasha Bourbonnais, Human Services Manager Ii, as its authorized official.

NPPES Registry Identity

NPI1730721929
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSAN MATEO COUNTY
Location Address31 TOWER RDSan Mateo, CA 94402-4000
Mailing Address1 Davis Drive, Attn: Natasha BourbonnaisBelmont, CA 94002 · (650) 802-6583 · Fax (650) 592-3056
Phone(650) 312-5320
Fax(650) 572-2414
Organization SubpartYesParent: County Of San Mateo
Authorized OfficialNatasha BourbonnaisHuman Services Manager Ii · (650) 802-6583
Enumeration DateOctober 9, 2019
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1730721929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
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.
31 TOWER RD, San Mateo, CA 94402
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Other Names 1

Doing Business AsElysian Strtp County Of San Mateo

Other Providers at the Same Location NPPES 6

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

LAURA ELIZABETH STOVALL LCSW
Social Worker (Clinical)
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 924-5237
LONG HOANG
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 647-9022
JULIA SOARES BARBOZA
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 312-5320
KI WI FAN
Social Worker (Clinical)
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 312-5320
GLORIA ALEJANDRA CASTILLO MSW
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (415) 860-5557
ALEXANDRA MAY
Social Worker (Clinical)
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 216-8523

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's NPI number?

The NPI number for San Mateo County is 1730721929. It was assigned to this organization in the NPPES registry on October 9, 2019. The provider is doing business as Elysian Strtp County Of San Mateo.

Where is San Mateo County located?

San Mateo County is located at 31 Tower Rd, San Mateo, CA 94402. The listed phone number is (650) 312-5320.

What is San Mateo County's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for San Mateo County was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.