EDGEWOOD
NPI 1265865240
Residential Treatment Facility, Emotionally Disturbed Children in San Francisco, CA

NPI Status: Active since August 14, 2013

Contact Information

1801 VICENTE ST
SAN FRANCISCO, CA
ZIP 94116
Phone: (909) 215-8288

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About EDGEWOOD

This page provides the complete NPI Profile along with additional information for Edgewood, a provider established in San Francisco, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1265865240 assigned on August 2013. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Augie Arballo (Director, Hospital Diversion)

NPI
1265865240
Provider Name
EDGEWOOD
Entity Type
Organization
Location Address
1801 VICENTE ST SAN FRANCISCO, CA 94116
Location Phone
(909) 215-8288
Mailing Address
1801 VICENTE ST SAN FRANCISCO, CA 94116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2013
Last Update Date
08-14-2013
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

AUGIE ARBALLO

Authorized Official Title
DIRECTOR, HOSPITAL DIVERSION
Authorized Official Phone
(415) 725-0675

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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.
1265865240
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251661028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 6 + 1 + 0 + 2 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265865240 is valid because the calculated check digit 0 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
1437253721 DEBORAH ERNESTINE KOPEC RN
Individual
Registered Nurse1801 VICENTE ST EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
SAN FRANCISCO, CA 94116
(415) 681-3211
1366546558 LINA WEISSMAN PHD
Individual
Psychologist1801 VICENTE ST THE EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
SAN FRANCISCO, CA 94116
(415) 682-3209
1811072796EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Organization
Clinic/Center (Adolescent and Children Mental Health)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1710052360MS. JENNIFER ELLEN BARRY MFC 45572
Individual
Marriage & Family Therapist1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3145
1861568842MRS. KRISTEN ANDERSON SCHEUER A.M., LCSW
Individual
Social Worker (Clinical)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3150
1437225471MRS. LYDIA VELASCO-MAYOCK MSW LCSW 25817
Individual
Social Worker (Clinical)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1487722476MS. MARIANNE F SCHEMBRI MFT
Individual
Marriage & Family Therapist1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1215091624MR. DAVID BRIAN LURIE MA
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3138
1659435691 KRISTA DONAHUE SAUSEDA
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3229
1881730562MR. CHRISTOPHER DRAYSON MA
Individual
Marriage & Family Therapist1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3194
1720127665DR. LAURIE MUN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 476-7048
1093856478MR. STEVEN JOSEPH BOSQUE R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3132
1992846042MS. CHRISTINA LASHAWN ANDERSON
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 661-2099
1982746137MRS. ELYSE SHARON GANAPOL BART LCSW
Individual
Social Worker (Clinical)1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1114061983 JULIE HITOMI SHIMAZU-DEACON
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 682-3221
1982730495 ELLEN MARIE FITZSIMMONS
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 661-6850
1497885586 AMANDA ROBERTSON BA
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(530) 570-1735
1558492397MS. LOTOYA KOWANDA SPELL
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1831213818MR. VINCENT GREGORY REYES BA
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211
1205951068 JOHN WILLIAM HERBERT
Individual
Counselor1801 VICENTE ST
SAN FRANCISCO, CA 94116
(415) 681-3211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265865240, enumerated in the NPI registry as an "organization" on August 14, 2013

The provider is located at 1801 Vicente St San Francisco, Ca 94116 and the phone number is (909) 215-8288

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on August 14, 2013. 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.