Organization Active NPI

Walden House

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1205838281
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WALDEN HOUSE
Practice address
1550 Evans Ave
San Francisco, CA 94124-1430
Phone
(415) 970-7500
Fax
(415) 970-7564
NPI assigned
Aug 10, 2005
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mr. Rod Libbey, MA
Title
President & Ceo
Phone
(415) 970-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X CA
Public Health or Welfare Agency 251K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1550 Evans Ave
San Francisco, CA 94124-1430

Mailing address

1550 Evans Ave
San Francisco, CA 94124-1430
Phone (415) 970-7500

National Provider Directory

National Provider Directory

Locations

1550 Evans Ave
San Francisco, CA 94124
Phone (415) 554-1100

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1205838281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241430",
            "telephone_number": "415-970-7500",
            "fax_number": "415-970-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241430",
            "telephone_number": "415-970-7500",
            "fax_number": "415-970-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "LIBBEY",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "415-970-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.