MINDFUL LIVING, A MARRIAGE AND FAMILY THERAPY CORPORATION
NPI 1073137295
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Francisco, CA

NPI Status: Active since June 03, 2020

Contact Information

200 GREEN ST STE 200
SAN FRANCISCO, CA
ZIP 94111
Phone: (415) 890-3791

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About MINDFUL LIVING, A MARRIAGE AND FAMILY THERAPY CORPORATION

This page provides the complete NPI Profile along with additional information for Mindful Living, A Marriage And Family Therapy Corporation, a provider established in San Francisco, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1073137295 assigned on June 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Laurie Phuong Ertley Lmft (President)

NPI
1073137295
Provider Name
MINDFUL LIVING, A MARRIAGE AND FAMILY THERAPY CORPORATION
Entity Type
Organization
Location Address
200 GREEN ST STE 200 SAN FRANCISCO, CA 94111
Location Phone
(415) 890-3791
Mailing Address
200 GREEN ST STE 200 SAN FRANCISCO, CA 94111
Mailing Phone
(415) 890-3791
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2020
Last Update Date
06-03-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURIE PHUONG ERTLEY LMFT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(415) 890-3791

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
85042OTHER (01)CABOARD BEHAVIORAL SERVICES

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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.
1073137295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201432314218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 2 + 3 + 1 + 4 + 2 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1073137295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144352279MS. LAURIE PHUONG T ERTLEY LMFT
Individual
Marriage & Family Therapist200 GREEN ST STE 200
SAN FRANCISCO, CA 94111
(415) 890-3791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073137295, enumerated in the NPI registry as an "organization" on June 03, 2020

The provider is located at 200 Green St Ste 200 San Francisco, Ca 94111 and the phone number is (415) 890-3791

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 03, 2020. 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.