NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

INDIVIDUAL APPLICATION
86 PERALTA AVE
SAN FRANCISCO, CA94110-4841
 Phone: 530-276-1952
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for INDIVIDUAL APPLICATION

NPI Number 1356792204
LBN Legal business name INDIVIDUAL APPLICATION
Authorized official MEGAN BRUBAKER - (MFT INTERN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2016
Last updated 06/22/2016 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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