Waverly Place Apartments, LP

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WAVERLY PLACE APARTMENTS, LP

Practice address

105 Waverly Place
Redwood City, CA 94063

Phone

(650) 368-3345

Fax

(510) 879-0354

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTYAs reported in NPPES

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

Authorized official

Name

Shane Young

Title

Program and Operations Manager

Phone

(650) 257-8816

Specialties & licenses 1

Addresses

Other names 1

• Mental Health Association Other name

Part of

Mha Light Tree

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1235630369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 SPRING ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633522",
            "telephone_number": "650-368-3345",
            "fax_number": "510-879-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAVERLY PLACE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-368-3345",
            "fax_number": "510-879-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY PLACE APARTMENTS, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PROGRAM AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "650-257-8816"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lyla Washaha
• Diane M Washington, CRNA
• Linda K Watanabe, RN
• Ashleigh Taylor Watson, PA-C
• Kayleigh Watters, PHD
• Xin Wei, M.D.
• Dale H Weibel, D.D.S.
• Donald R Weiher
• David Weisenberg, M.D.
• Frances Weissbart, NP, ANP

• Case Management Agency in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.