Walden House Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WALDEN HOUSE INC

Practice address

890 Hayes St
San Francisco, CA 94117-2615

Phone

(415) 701-5100

Fax

(415) 621-1033

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tyrone EvansNPI 1295043289

Title

Mental Health Caremanager

Phone

(415) 701-5100

Specialties & licenses 1

Addresses

Other names 1

• 890 Other name

Practitioners 1

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.

• Tyrone Evans, RRW3081

  • Addiction (Substance Use Disorder) Counselor
  • San Francisco, CA
  • NPI 1295043289
  Authorized official Same address or phone

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1407166416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172615",
            "telephone_number": "415-701-5100",
            "fax_number": "415-621-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172615",
            "telephone_number": "415-701-5100",
            "fax_number": "415-621-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "MENTAL HEALTH CAREMANAGER",
        "authorized_official_telephone_number": "415-701-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "890",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Britta Wald, RD
• Laura Wald, PH.D.
• Rochelle Wald, LCSW, PHD
• Rachel Waldemer-Streyer, MD, PHD
• Walden House
• Callie Portia Walder, AMFT
• Sven Joshua Walderich, MD
• Frederic M Waldman, MD
• Malaena Grace Lily Waldman, MA, LMFT, MIM
• Susan D Waldman, PH.D, MFT

• Substance Abuse Rehabilitation Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.