Organization · Type 2 NPI

University of Califronia, San Francisco

Adolescent and Children Mental Health Clinic/Center · San Francisco, CA

NPI number 1265638159 Active

Practice location

1001 Potrero Ave, Building 5, Suite 6B
San Francisco, CA 94110

Call (415) 206-4444 Map

Fax (415) 206-3142

Mailing address

PO Box 7464
San Francisco, CA 94120-7464

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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NPI record

NPI: 1265638159
Entity type: Organization (Type 2)
Issued: Jun 26, 2007
Last updated: Jul 9, 2018
Status: Active

Other names

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Department of Psychiatry, Child and Adolescent Services · doing business as
Department of Psychiatry, Child and Adolescent Services · doing business as

Authorized official

Grace Fernandez
Director, CPG Business Services
(415) 476-8969

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265638159

University of Califronia, San Francisco's National Provider Identifier is 1265638159, issued on Jun 26, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in San Francisco, CA. The record was last updated on Jul 9, 2018.