Long Term Care Psychiatry Nursing Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14427 Issued in CA

Legal business name

LONG TERM CARE PSYCHIATRY NURSING CORPORATION

Practice address

46 Cragmont Ave
San Francisco, CA 94116-1308

Phone

(415) 823-5131

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

William B Falk, NPNPI 1609942861

Title

President

Phone

(415) 528-0532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• William Blake Falk, MSN, APRN, BC

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1609942861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1912258369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CRAGMONT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161308",
            "telephone_number": "415-823-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CRAGMONT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161308",
            "telephone_number": "415-823-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE PSYCHIATRY NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-528-0532",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Eoin Lonergan, MD
• Seamus David Lonergan, M.D.
• Alma Rene Lones, MS, LMFT
• Justin Thomas Loney
• Elizabeth Kay Long Goldman, NP
• Alixandre Jaice Long, MSS
• Andy Long
• Brandon Long
• Corey Michael Long, M.D.
• Gia Long

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.