Edgewood Center for Children & Families

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

EDGEWOOD CENTER FOR CHILDREN & FAMILIES

Practice address

170 Northridge Dr
Daly City, CA 94015-4618

Phone

(415) 994-7410

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Theresa D Ray, MBA/PA

Title

Child Care Counselor

Phone

(415) 994-7410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1174970719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTHRIDGE DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154618",
            "telephone_number": "415-994-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHRIDGE DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154618",
            "telephone_number": "415-994-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER FOR CHILDREN & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHILD CARE COUNSELOR",
        "authorized_official_telephone_number": "415-994-7410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA/PA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Eccleston
• Azalei Echano
• Eddie Yuti Lo, MD, PC
• Eric Edelson
• Edgardo G. Alicaway, M. D., P. C.
• Edward Sun M.D., Inc.
• Bjorn Carl Johan Eek, M.D.
• Katherine Stock Eggers
• Nancy Lahey Ehat, OTR/L
• Muhammad Nasser Elbgal, LCSW

• Emotionally Disturbed Childrens' Residential Treatment Facility in Daly City, CA
• Providers in Daly City, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.