Kathryne Manor

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

KATHRYNE MANOR

Practice address

840 Kathryne Ave
San Mateo, CA 94401-3125

Phone

(650) 348-5393

NPI assigned

Oct 6, 2007

Organization subpart

No

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

Authorized official

Name

Alicia Paleracio

Title

Licensee

Phone

(650) 245-2238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1407044209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KATHRYNE AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013125",
            "telephone_number": "650-348-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KATHRYNE AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013125",
            "telephone_number": "650-348-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYNE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "PALERACIO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "650-245-2238"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Karsant
• Electra Barbara Kassimidis, LVN
• Naomi Kaswan, PHD
• Morgan Faye Katcher
• Kathleen Carlson MFT Inc
• Merna Elias Katout
• Jen Kauer
• Jennifer Lea Kaufman, MD
• Stephanie Kaufman, MS
• Eddie Kaufmann

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; 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.