NPIMap

Organization Active NPI

St. Mary's Medical Center

  • Psychiatric Hospital
  • San Francisco, CA
National Provider Identifier
1235278763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
47715 Issued in CA
Legal business name
ST. MARY'S MEDICAL CENTER
Practice address
450 Stanyan St
McAuley Adolescent Day Treatment 3N
San Francisco, CA 94117-1079
Phone
(415) 750-5637
Fax
(415) 750-4912
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana R Zoller, MFT
Title
Case Manager & Family Therapist
Phone
(415) 750-5637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 47715 CA Primary

Addresses

Primary practice location

450 Stanyan St
McAuley Adolescent Day Treatment 3N
San Francisco, CA 94117-1079

Mailing address

450 Stanyan St
McAuley Adolescent Day Treatment 3N
San Francisco, CA 94117-1079
Phone (415) 750-5637

National Provider Directory

National Provider Directory

Locations

450 Stanyan St
#3N
San Francisco, CA 94117
Phone (415) 750-5580

Practitioners & affiliated clinicians

Practitioners 3

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235278763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "MCAULEY ADOLESCENT DAY TREATMENT 3N",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-750-5637",
            "fax_number": "415-750-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "MCAULEY ADOLESCENT DAY TREATMENT 3N",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-750-5637",
            "fax_number": "415-750-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOLLER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CASE MANAGER & FAMILY THERAPIST",
        "authorized_official_telephone_number": "415-750-5637",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "47715",
            "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 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.