Active NPI
Timothy Kershenstine
- Counselor
- Redwood City, CA
National Provider Identifier
1669511788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 248 Redwood Ave
Redwood City, CA 94061-3074 - Phone
- (650) 363-4435
- Fax
- (650) 361-1620
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
248 Redwood Ave
Redwood City, CA 94061-3074
Mailing address
508 Ashbury St
Apt. #6
San Francisco, CA 94117-2977
Phone (415) 558-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caminar | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Redwood City, CA
- NPI 1205974524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1669511788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 ASHBURY ST",
"address_2": "APT. #6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172977",
"telephone_number": "415-558-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 REDWOOD AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613074",
"telephone_number": "650-363-4435",
"fax_number": "650-361-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHENSTINE",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.