H.O.P.E. for Healing Institute (a 501C3 Not for Profit)

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20A10041 Issued in CA

Legal business name

H.O.P.E. FOR HEALING INSTITUTE (A 501C3 NOT FOR PROFIT)

Practice address

900 Larkspur Landing Cir
Suite # 115
Larkspur, CA 94939-1757

Phone

(415) 785-8652

Fax

(415) 785-8697

NPI assigned

Sep 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline S. Chan, D.O.

Title

Medical Director

Phone

(415) 785-8652

Specialties & licenses 1

Addresses

Other names 1

• Hyperbaric Oxygen Therapy of Marin Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1043768856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LARKSPUR LANDING CIR",
            "address_2": "SUITE # 115",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391757",
            "telephone_number": "415-785-8652",
            "fax_number": "415-785-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LARKSPUR LANDING CIR",
            "address_2": "SUITE # 115",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391757",
            "telephone_number": "415-785-8652",
            "fax_number": "415-785-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E. FOR HEALING INSTITUTE (A 501C3 NOT FOR PROFIT)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-785-8652",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A10041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyperbaric Oxygen Therapy of Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Green, P.T.
• Jennifer Greenway, NP
• Trevor Charles Greenwood, PT
• Adhira Gupta, MD
• Matthew Samuel Carlton Gutierrez, PHARM.D.
• Edward Haack, O.D.
• Frederike Haeusserman, P.T.
• Theresa Hall, LMFT
• Madeleine Hanks
• Margo Elizabeth Hanlan, PNP

• Medical Specialty Clinic/Center in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.