PROGRESS FOUNDATION NPI 1487388799

NPI Information

  • NPI: 1487388799
  • Provider Name: PROGRESS FOUNDATION
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Other Name: GRAND AVENUE
  • Address: 920 GRAND AVE
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (707) 255-9028

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NPI Details

PROGRESS FOUNDATION is a community based residential treatment facility mental illness in San Rafael, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROGRESS FOUNDATION NPI is 1487388799. The provider is registered as an organization entity type.
The provider Other Name Is Grand Avenue.

The provider's business location address is:

920 GRAND AVE
SAN RAFAEL, CA
ZIP 94901-506
Phone: (707) 255-9028
Fax: (707) 255-3715

The provider's authorized official is Bernadette Santiago Navarro-simeon .
The authorized official title is Director Of Clinical Administration and has the following contact phone number (415) 861-0828.

The enumeration date for this NPI number is 7/12/2022 and was last updated on 11/13/2022.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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