Active NPI
Desicouch
- Community/Behavioral Health Agency
- South San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 43971
- Legal business name
- DESICOUCH
- Practice address
- 61 Airport Blvd.
Ste. C
South San Francisco, CA 94080 - Phone
- (415) 267-4850
- Fax
- (415) 267-4850
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Desdemonia Whittle, MFT
- Title
- President
- Phone
- (415) 267-4850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 43971 | CA | Primary |
Addresses
Primary practice location
61 Airport Blvd.
Ste. C
South San Francisco, CA 94080
Mailing address
61 Airport Blvd
Ste. C
South San Francisco, CA 94080-6522
Phone (415) 267-4850
National Provider Directory
National Provider DirectoryLocations
61 Airport Blvd
Ste C
South San Francisco, CA 94080
Phone (415) 267-4850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- San Francisco, CA
- NPI 1427221860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1053633198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 AIRPORT BLVD",
"address_2": "STE. C",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806522",
"telephone_number": "415-267-4850",
"fax_number": "415-267-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 AIRPORT BLVD.",
"address_2": "STE. C",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "415-267-4850",
"fax_number": "415-267-4850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESICOUCH",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2013-12-17",
"status": "A",
"authorized_official_last_name": "WHITTLE",
"authorized_official_first_name": "DESDEMONIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-267-4850",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "43971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.