Edge Wood

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

EDGE WOOD

Practice address

1801 Vicente Street
San Francisco, CA 94116

Phone

(415) 681-3205

NPI assigned

May 7, 2010

Last updated

May 7, 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

Michael Nathen Pickard

Title

Counselor

Phone

(415) 418-8409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1528386117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 VICENTE STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-681-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VICENTE STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-681-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE WOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NATHEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "415-418-8409"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Elizabeth Eder
• Suzanne E. Eder, FNP
• Eloisa Vasquez Edery, MFT
• Geoffrey Joseph Edevane, SUD COUNSELOR
• Edge Medical Services
• Maiya Edgerly
• Lindsay McKinley Edgett, R.N.
• Edgewood
• Edgewood
• Edgewood

• Emotionally Disturbed Childrens' Residential Treatment Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.