MS. ATHENA M. BURNSIDE NPI 1023581196

NPI Information

NPI: 1023581196
Provider Name: MS. ATHENA M. BURNSIDE
Classification: Clinic/Center - 261QM0850X
Entity Type: Individual

Specialization: Adult Mental Health

Address:
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA
ZIP 94403
Phone: (650) 372-4080
Get Directions

MS. Athena M. Burnside is an adult mental health clinic center in San Mateo, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MS. Athena M. Burnside NPI is 1023581196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 S EL CAMINO REAL STE 200
SAN MATEO, CA
ZIP 94403-382
Phone: (650) 372-4080
Fax: (650) 400-9662

The enumeration date for this NPI number is 1/10/2019 and was last updated on 4/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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