NPIMap

Organization Active NPI

Mount St. Joseph-St. Elizabeth

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1699825521
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
380081CN Issued in CA
Legal business name
MOUNT ST. JOSEPH-ST. ELIZABETH
Practice address
100 Masonic Ave
San Francisco, CA 94118-4415
Phone
(415) 351-4054
Fax
(415) 292-5531
NPI assigned
Jan 11, 2007
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Sister Betty Marie Dunkel
Title
Executive Director
Phone
(415) 351-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 380081CN CA Primary

Addresses

Primary practice location

100 Masonic Ave
San Francisco, CA 94118-4415

Mailing address

100 Masonic Ave
San Francisco, CA 94118-4415
Phone (415) 351-4054

Other names 1

  • Epiphany Family Treatment Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Mt St Joseph-St Elizabeth7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1699825521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MASONIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184415",
            "telephone_number": "415-351-4054",
            "fax_number": "415-292-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MASONIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184415",
            "telephone_number": "415-351-4054",
            "fax_number": "415-292-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ST. JOSEPH-ST. ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "DUNKEL",
        "authorized_official_first_name": "SISTER BETTY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-351-4045"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "380081CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epiphany Family Treatment Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Epiphany Family Treatment Program",
            "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 Jun 1, 2023; 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.