Organization Active NPI

Woodleaf Eating Disorder Center

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1235310350
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44272 Issued in CA
Legal business name
WOODLEAF EATING DISORDER CENTER
Practice address
45 Franklin St
Suite #205
San Francisco, CA 94102-6017
Phone
(415) 840-0670
Fax
(415) 664-5635
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
April Anne Vancelette, MFT, M.S.
Title
Clinical Director
Phone
(415) 287-4060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 44272 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 45267 CA
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 962411 CA

Addresses

Primary practice location

45 Franklin St
Suite #205
San Francisco, CA 94102-6017

Mailing address

45 Franklin St
Suite #205
San Francisco, CA 94102-6017
Phone (415) 840-0670

National Provider Directory

National Provider Directory

Locations

45 Franklin St
Ste 205
San Francisco, CA 94102
Phone (415) 840-0670

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1235310350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN ST",
            "address_2": "SUITE #205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026017",
            "telephone_number": "415-840-0670",
            "fax_number": "415-664-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN ST",
            "address_2": "SUITE #205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026017",
            "telephone_number": "415-840-0670",
            "fax_number": "415-664-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLEAF EATING DISORDER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "VANCELETTE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-287-4060",
        "authorized_official_credential": "MFT, M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44272",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45267",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "962411",
            "primary": false
        }
    ],
    "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 Jun 19, 2008; 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.