NPIMap

Organization Active NPI

Mission Council

Doing business as Family Day Treatment and Aftercare

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1912182759
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
380008BN Issued in CA
Legal business name
MISSION COUNCIL
Doing business as
Family Day Treatment and Aftercare
Practice address
474 Valencia St Ste 135
San Francisco, CA 94103-3415
Phone
(415) 864-0554
Fax
(415) 701-1868
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. Leonard Chavez-Smith, MA, MPH
Title
Executive Director
Phone
(415) 826-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 380008BN CA Primary

Addresses

Primary practice location

474 Valencia St Ste 135
San Francisco, CA 94103-3415

Mailing address

474 Valencia St Ste 135
San Francisco, CA 94103-3415
Phone (415) 864-0554

Other identifiers 1

IdentifierTypeStateIssuer
4158640554OtherCAFACILITY

Other names 1

  • Family Day Treatment and Aftercare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Day Treatment and Aftercare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

474 Valencia St
Ste 135
San Francisco, CA 94103
Phone (415) 864-0554

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912182759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 VALENCIA ST STE 135",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033415",
            "telephone_number": "415-864-0554",
            "fax_number": "415-701-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 VALENCIA ST STE 135",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033415",
            "telephone_number": "415-864-0554",
            "fax_number": "415-701-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ-SMITH",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-826-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "380008BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY",
            "identifier": "4158640554",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Day Treatment and Aftercare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2007; 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.