Elpida House, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

NOT APPLICABLE Issued in CA

Legal business name

ELPIDA HOUSE, INC.

Practice address

7 Mount Lassen Dr
Suite D-256
San Rafael, CA 94903-1148

Phone

(415) 499-8613

Fax

(415) 499-8620

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laura McCormick, PH.D.

Title

Executive and Clinical Director

Phone

(415) 499-8613

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134323850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MOUNT LASSEN DR",
            "address_2": "SUITE D-256",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031148",
            "telephone_number": "415-499-8613",
            "fax_number": "415-499-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MOUNT LASSEN DR",
            "address_2": "SUITE D-256",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031148",
            "telephone_number": "415-499-8613",
            "fax_number": "415-499-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELPIDA HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-499-8613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard H Ellenberger, OD, PHD
• Laura Jessica Elliott, M.A.
• Nolan B Ellis
• Lisa Ellisbello
• Rebecca Samara Morgan Elowen, LM, IBCLC, CST-I
• Elpida House, Inc.
• Joseph Anthony Emard
• Maryam Eminic
• Empowered Psychological Services Inc.
• Kassie Engdahl, M.S. CCC-SLP

• Psychiatric Residential Treatment Facility in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.