NPIMap

Organization Active NPI

Center on Juvenile and Criminal Justice

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1750596300
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CENTER ON JUVENILE AND CRIMINAL JUSTICE
Practice address
40 Boardman PL
San Francisco, CA 94103-4729
Phone
(415) 621-5661
Fax
(415) 621-5466
NPI assigned
May 14, 2007
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mr. Daniel Macallair, MPA
Title
Executive Director
Phone
(415) 621-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

40 Boardman PL
San Francisco, CA 94103-4729

Mailing address

40 Boardman PL
San Francisco, CA 94103-4729
Phone (415) 621-5661

National Provider Directory

National Provider Directory
Tax ID family
Center on Juvenile and Criminal Justice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1750596300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BOARDMAN PL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034729",
            "telephone_number": "415-621-5661",
            "fax_number": "415-621-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BOARDMAN PL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034729",
            "telephone_number": "415-621-5661",
            "fax_number": "415-621-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER ON JUVENILE AND CRIMINAL JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MACALLAIR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-621-5661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 2013; 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.