NPIMap

Organization Active NPI

Catholic Charities Cyo of the Archdiocese of San Francisco

Doing business as St. Vincent's School for Boys

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Rafael, CA
National Provider Identifier
1538223300
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
216801396 Issued in CA
Legal business name
CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Doing business as
St. Vincent's School for Boys
Practice address
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Phone
(415) 507-2000
NPI assigned
Dec 19, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Colleen Babette McCarthy, DO
Title
Dir of Contracts Y& Grants
Phone
(415) 972-1211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 216801396 CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Mailing address

1555 39TH Ave
San Francisco, CA 94122-3015
Phone (415) 972-1200

Other names 1

  • St. Vincent's School for Boys Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincents11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1538223300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 39TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223015",
            "telephone_number": "415-972-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENTS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031504",
            "telephone_number": "415-507-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "BABETTE",
        "authorized_official_title_or_position": "DIR OF CONTRACTS Y& GRANTS",
        "authorized_official_telephone_number": "415-972-1211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "216801396",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's School for Boys",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent's School for Boys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.