Divisadero Health Services of New Jersey, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DIVISADERO HEALTH SERVICES OF NEW JERSEY, P.C.

Doing business as

Peers.net

Practice address

2193 Fillmore St # 35
San Francisco, CA 94115-2223

Phone

(415) 725-5422

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Newell Green, MDNPI 1952489593

Title

Owner

Phone

(415) 725-5422

Specialties & licenses 1

Addresses

Other names 1

• Peers.net Doing business as

Locations

Practitioners 1

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

• Kimberly L Newell Green, MD

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1952489593
  NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1609691369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DIVISADERO ST STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172213",
            "telephone_number": "415-725-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 FILLMORE ST # 35",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152223",
            "telephone_number": "415-725-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISADERO HEALTH SERVICES OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "NEWELL GREEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-725-5422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peers.net",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Divakaran, RN PHN
• Divergent Worlds Psychotherapy and Consulting, Inc. (Rachel Robbins, Psy.D.)
• Jennifer Divers, LMFT
• Maria Bernadette Divina, RN
• Divisadero Health Services
• Devan Diwanji, MD, PHD
• Niharika Dixit, M.D
• Rakesh Kumar Dixit, M.D.
• Shalini Dixit
• Christina Theresa Dixon, MD

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.