Edgewood Childrens and Family Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDGEWOOD CHILDRENS AND FAMILY CENTER

Practice address

1801 Vicente Street Edgewood Children and Family Center
Sanfransico, CA 94116

Phone

(415) 682-3229

NPI assigned

May 10, 2010

Last updated

May 10, 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. Jeffrey Pita

Title

Counselor

Phone

(415) 682-3229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1497073977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 VICENTE STREET EDGEWOOD CHILDREN AND FAMILY CENTER",
            "city": "SANFRANSICO",
            "state": "CA",
            "postal_code": "94116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VICENTE STREET EDGEWOOD CHILDREN AND FAMILY CENTER",
            "city": "SANFRANSICO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-682-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CHILDRENS AND FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "415-682-3229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.