The Healthy Teen Project, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE HEALTHY TEEN PROJECT, INC.

Practice address

1400 Tennessee St Unit 3
San Francisco, CA 94107-3421

Phone

(415) 797-1414

Fax

(415) 797-1413

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Tom Brehme

Title

Coo

Phone

(650) 900-8464

Specialties & licenses 1

Addresses

Tax ID family

The Healthy Teen Project Inc2 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.

• The Healthy Teen Project, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Altos, CA
  • NPI 1174960090
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Silvers, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • San Francisco, CA
  • NPI 1003477811
  NPD

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1760031314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FREMONT AVE STE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246047",
            "telephone_number": "650-941-2300",
            "fax_number": "650-941-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TENNESSEE ST UNIT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073421",
            "telephone_number": "415-797-1414",
            "fax_number": "415-797-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY TEEN PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "BREHME",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "650-900-8464"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.