NPIMap

Organization Active NPI

County of San Mateo

Doing business as Skyview Therapeutic Day School

  • Adolescent and Children Mental Health Clinic/Center
  • San Bruno, CA
National Provider Identifier
1215029087
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF SAN MATEO
Doing business as
Skyview Therapeutic Day School
Practice address
300 Piedmont Ave
San Bruno, CA 94066-3959
Phone
(650) 583-8958
NPI assigned
Sep 29, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN MATEO COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Scott Gilman
Title
Mental Health Director
Phone
(650) 573-2748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

300 Piedmont Ave
San Bruno, CA 94066-3959

Mailing address

300 Piedmont Ave
San Bruno, CA 94066-3959
Phone (650) 583-8958

Other names 1

  • Skyview Therapeutic Day School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000292 CA Part B Supplier - Clinic/Group Practice 9032023171 Receives reassigned benefits from 605 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redwood City, CA; San Mateo, CA; San Bruno, CA; South San Francisco, CA; Woodside, CA; Daly City, CA; Belmont, CA; Colma, CA…

Other NPIs on the same Medicare enrollment 36

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 36

National Provider Directory

National Provider Directory
Tax ID family
San Mateo Medical Center Methadone Treatment Program123 organizations share this tax ID, including this one
Part of
San Mateo Medical Center Methadone Treatment Program

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1215029087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PIEDMONT AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663959",
            "telephone_number": "650-583-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PIEDMONT AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663959",
            "telephone_number": "650-583-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN MATEO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN MATEO COUNTY MEDICAL CENTER",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "650-573-2748"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyview Therapeutic Day School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyview Therapeutic Day School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.