MS. ATHENA M. BURNSIDE
NPI 1023581196
Clinic/Center - Adult Mental Health in San Mateo, CA

NPI Status: Active since January 10, 2019

Contact Information

2600 S EL CAMINO REAL STE 200
SAN MATEO, CA
ZIP 94403
Phone: (650) 372-4080
Fax: (650) 400-9662

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  • Individual
  • Female
  • Clinic/Center
  • Adult Mental Health

About ATHENA BURNSIDE

This page provides the complete NPI Profile along with additional information for Athena Burnside, a provider established in San Mateo, California with a medical specialization in Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1023581196 assigned on January 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1023581196
Provider Name
MS. ATHENA M. BURNSIDE
Gender
Female
Entity Type
Individual
Location Address
2600 S EL CAMINO REAL STE 200 SAN MATEO, CA 94403
Location Phone
(650) 372-4080
Location Fax
(650) 400-9662
Mailing Address
2600 S EL CAMINO REAL STE 200 SAN MATEO, CA 94403
Mailing Phone
(650) 578-8691
Is Sole Proprietor?
Yes
Enumeration Date
01-10-2019
Last Update Date
04-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023581196
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431082118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 0 + 8 + 2 + 1 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1023581196 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912251851 AMY FITZPATRICK
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 578-8691
1033458914 KIMBERLY ROBINSON
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 578-8691
1730469198DR. ANN K RAWLEY PH.D.
Individual
Psychologist (Clinical)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(510) 393-8953
1447656509 CARRIE RAMLOW
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 393-8904
1801248646 SANDY MEJIA-LOPEZ B.A.
Individual
Case Manager/Care Coordinator2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 393-8915
1578005914 TERESA LOPEZ
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 578-8691
1669997854 JERRY DATTILO BA
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 513-6122
1811413271 JESSICA RAHTER MA
Individual
Student in an Organized Health Care Education/Training Program2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1225554538 KIM MARIE KUBAL
Individual
Student in an Organized Health Care Education/Training Program2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1386163418 JEANNETTE DAVIS
Individual
Case Manager/Care Coordinator2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1013436096 NIKKI STOKMAN-FUENTES
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1548772718 SARA KENDAL APPIO
Individual
Clinic/Center (Mental Health (Including Community Mental Health Center))2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1659870731 ANGELA DOMINIC QUIROZ MA
Individual
Case Manager/Care Coordinator2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1902305949 CHLOE COLLART-MUSSELMAN
Individual
Technician, Other2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 238-7608
1902309727 LAILA GHAZANFARPOUR
Individual
Case Manager/Care Coordinator2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1588169445MRS. JUDITH ROJO ALVAREZ
Individual
Counselor2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 245-1237
1942706296 CARLY ELIZABETH EVANS
Individual
Case Manager/Care Coordinator2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 393-8931
1588154678 STEFANIE BIAGGI
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080
1568949584 MARYOUM P SANDOVAL
Individual
Counselor (Mental Health)2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 578-8691
1174003255 NICOLE S BOYDSTON RN
Individual
Registered Nurse2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
(650) 372-4080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023581196, enumerated in the NPI registry as an "individual" on January 10, 2019

The provider is located at 2600 S El Camino Real Ste 200 San Mateo, Ca 94403 and the phone number is (650) 372-4080

The provider's speciality is Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on January 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.