NPIMap

Organization Active NPI

Progress Foundation

Doing business as Carroll House

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
National Provider Identifier
1669536546
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
389210025 Issued in CA
Legal business name
PROGRESS FOUNDATION
Practice address
73 Anderson St
San Francisco, CA 94110-5601
Phone
(415) 821-1600
Fax
(415) 821-3568
NPI assigned
Dec 21, 2006
Last updated
Nov 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Authorized official

Name
Steven Fields, MA
Title
Executive Director
Phone
(415) 861-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 389210025 CA Primary

Addresses

Primary practice location

73 Anderson St
San Francisco, CA 94110-5601

Mailing address

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other identifiers 2

IdentifierTypeStateIssuer
01907501OtherCAMEDICAL PIN
000003854MedicaidCA

Other names 1

  • Carroll House Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seniors@progressfoundation.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Progress Foundation19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Interoperability endpoints

  • Direct secure messaging: seniors@progressfoundation.org

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1669536546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025144",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 ANDERSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105601",
            "telephone_number": "415-821-1600",
            "fax_number": "415-821-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-861-0828",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "389210025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "01907501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003854",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seniors@progressfoundation.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "program email",
            "address_1": "73 Anderson St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941105601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carroll House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carroll House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Carroll House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.