NPIMap

Organization Active NPI

Board of Trustees for Leland Stanford Junior University

  • Counselor
  • Stanford, CA
National Provider Identifier
1235422189
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BOARD OF TRUSTEES FOR LELAND STANFORD JUNIOR UNIVERSITY
Practice address
585 Capistrano Way
Mariposa House
Stanford, CA 94305-8550
Phone
(650) 723-4577
NPI assigned
May 25, 2011
Organization subpart
Yes
Parent organization
BOARD OF TRUSTEES FOR LELAND STANFORD JUNIOR UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Rosan Gomperts, LCSWNPI 1780912931
Title
Director, Faculty Staff Help Center
Phone
(650) 723-4577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

585 Capistrano Way
Mariposa House
Stanford, CA 94305-8550

Mailing address

585 Capistrano Way
Mariposa House
Stanford, CA 94305-8550
Phone (650) 723-4577

Other names 1

  • Faculty Staff Help Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Clinicob17 organizations share this tax ID, including this one
Part of
Stanford Univ Clinicob

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

585 Capistrano Way
Stanford, CA 94305
Phone (650) 723-4577

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1235422189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CAPISTRANO WAY",
            "address_2": "MARIPOSA HOUSE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058550",
            "telephone_number": "650-723-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 CAPISTRANO WAY",
            "address_2": "MARIPOSA HOUSE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058550",
            "telephone_number": "650-723-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES FOR LELAND STANFORD JUNIOR UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF TRUSTEES FOR LELAND STANFORD JUNIOR UNIVERSITY",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "GOMPERTS",
        "authorized_official_first_name": "ROSAN",
        "authorized_official_title_or_position": "DIRECTOR, FACULTY STAFF HELP CENTER",
        "authorized_official_telephone_number": "650-723-4577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Staff Help Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.