Individual provider Active NPI

Madison Frances Molloy

  • Day Training/Habilitation Specialist
  • Burlingame, CA
National Provider Identifier
1861181604
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
700 Airport Blvd Ste 495
Burlingame, CA 94010-1945
Phone
(650) 517-8220
NPI assigned
May 8, 2023
Reactivated
Jun 29, 2023
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary
Community Health Worker 172V00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

700 Airport Blvd Ste 495
Burlingame, CA 94010-1945

Mailing address

113 San Benito Rd
Brisbane, CA 94005-1609
Phone (415) 260-6841

Other practice location 1

1510 Fashion Island Blvd Ste 310
San Mateo, CA 94404-1587
Phone (415) 681-3211

Other practice location 2

113 San Benito Rd
Brisbane, CA 94005-1609
Phone (415) 260-6841

Other practice location 3

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557
Phone (415) 681-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1861181604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SAN BENITO RD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051609",
            "telephone_number": "415-260-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AIRPORT BLVD STE 495",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101945",
            "telephone_number": "650-517-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Fashion Island Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944041587",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 San Benito Rd",
            "address_purpose": "LOCATION",
            "city": "Brisbane",
            "state": "CA",
            "postal_code": "940051609",
            "country_code": "US",
            "telephone_number": "415-260-6841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 S Spruce Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940804557",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "MADISON",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "deactivation_date": "2023-06-08",
        "reactivation_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.