MASONIC CENTER FOR YOUTH AND FAMILIES – NPI #1356749279
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.

MASONIC CENTER FOR YOUTH AND FAMILIES is an AHC clinic located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1356749279 to MASONIC CENTER FOR YOUTH AND FAMILIES on December 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MASONIC CENTER FOR YOUTH AND FAMILIES below.

NPI Profile for
MASONIC CENTER FOR YOUTH AND FAMILIES

NPI Number
1356749279
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MASONIC CENTER FOR YOUTH AND FAMILIES
Primary location
6 FUNSTON AVE
SAN FRANCISCO, CA 94129
Phone: (415) 929-3001 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MASONIC CENTER FOR YOUTH AND FAMILIES is subpart of another organization.
Authorized Official
SUSANNA BONETTI
ADMINISTRATIVE DIRECTOR
Phone: (415) 929-3001
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
CA 550001484

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.