NPIMap

Organization Active NPI

San Mateo County

Doing business as Baden Therapeutic Day School

  • Adolescent and Children Mental Health Clinic/Center
  • South San Francisco, CA
National Provider Identifier
1811089659
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SAN MATEO COUNTY
Doing business as
Baden Therapeutic Day School
Practice address
825 Southwood Dr
South San Francisco, CA 94080-3106
Phone
(650) 877-8795
NPI assigned
Sep 29, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN MATEO COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Jei Africa
Title
Director
Phone
(650) 613-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

825 Southwood Dr
South San Francisco, CA 94080-3106

Mailing address

825 Southwood Dr
South San Francisco, CA 94080-3106
Phone (650) 877-8795

Other names 1

  • Baden Therapeutic Day School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000292 CA Part B Supplier - Clinic/Group Practice 9032023171 Receives reassigned benefits from 605 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redwood City, CA; San Mateo, CA; San Bruno, CA; South San Francisco, CA; Woodside, CA; Daly City, CA; Belmont, CA; Colma, CA…

Other NPIs on the same Medicare enrollment 36

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 36

National Provider Directory

National Provider Directory
Tax ID family
San Mateo County-Family Health Services123 organizations share this tax ID, including this one
Part of
San Mateo County-Family Health Services

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

825 Southwood Dr
South San Francisco, CA 94080
Phone (650) 737-9072

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1811089659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SOUTHWOOD DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803106",
            "telephone_number": "650-877-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SOUTHWOOD DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803106",
            "telephone_number": "650-877-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN MATEO COUNTY MEDICAL CENTER",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "AFRICA",
        "authorized_official_first_name": "JEI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-613-2155"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baden Therapeutic Day School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baden Therapeutic Day School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South 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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.