Jericho Project

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JERICHO PROJECT

Practice address

430 Valley Dr
Brisbane, CA 94005-1210

Phone

(415) 656-1700

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Sandra Munoz, SUDCC 3-CS

Title

Supervising Counselor

Phone

(415) 306-4301

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christian Corona

  • Behavior Technician
  • San Ramon, CA
  • NPI 1144102146
  NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1497414585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2367",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940052367",
            "telephone_number": "650-515-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 VALLEY DR",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051210",
            "telephone_number": "415-656-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SUPERVISING COUNSELOR",
        "authorized_official_telephone_number": "415-306-4301",
        "authorized_official_credential": "SUDCC 3-CS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Haugabook, LCSW
• Helen Horvath
• Vivian Hui
• Peter Hur, PHARM.D.
• James E. Fitzgerald, DDS Inc
• Michael Kessler, D.C.
• Takae Koyama, DPT
• Latin America Marketing Corporation
• Ingrid M Lee
• Lighthouse Caregivers

• Substance Abuse Rehabilitation Facility in Brisbane, CA
• Providers in Brisbane, 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 Dec 15, 2021; 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.