Individual provider Active NPI

Emilia Ebere Anyah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sausalito, CA
National Provider Identifier
1629627120
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95015702 Issued in CA
Practice address
100 Phillips Dr
Sausalito, CA 94965-1172
Phone
(415) 339-8813
Fax
(415) 339-8814
NPI assigned
Sep 6, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95015702 CA Primary

Addresses

Primary practice location

100 Phillips Dr
Sausalito, CA 94965-1172

Mailing address

100 Phillips Dr
Sausalito, CA 94965-1172
Phone (415) 339-8813

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL acbhcs.org
CONNECT URL hydestreetcs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324001380 CA Practitioner - Nurse Practitioner 9931594157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

630 Drake Ave
Sausalito, CA 94965-1107
Phone (415) 339-8813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015702CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Street Community Services, Inc CurrentSince Dec 13, 2020 Accepting new patients
Marin City Health and Wellness Center CurrentSince Jan 31, 2022 Accepting new patients
Springup Mental Health Services Nursing PC Psychiatric/Mental Health Current Accepting new patients
Marin City Health and Wellness Center CurrentSince Jan 31, 2022 Accepting new patients

Locations

6301 3rd St
San Francisco, CA 94124
Phone (415) 339-8813

815 Hyde St
Ste 100
San Francisco, CA 94109
Phone (415) 440-0004

880 Las Gallinas Ave
Ste 2
San Rafael, CA 94903
Phone (415) 339-8813

100 Phillips Dr
Sausalito, CA 94965
Phone (415) 339-8813

630 Drake Ave
Sausalito, CA 94965
Phone (415) 339-8813

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1629627120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PHILLIPS DR",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651172",
            "telephone_number": "415-339-8813",
            "fax_number": "415-339-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHILLIPS DR",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651172",
            "telephone_number": "415-339-8813",
            "fax_number": "415-339-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAH",
        "first_name": "EMILIA",
        "middle_name": "EBERE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "acbhcs.org",
            "affiliation": "N",
            "address_1": "39155 Liberty St Ste G710",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hydestreetcs.org",
            "affiliation": "N",
            "endpointDescription": "Outpatient Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "815 Hyde St Ste 100",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941095998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

Verify at the official NPI Registry.