SAN MATEO COUNTY NPI 1730721929

NPI Information

  • NPI: 1730721929
  • Provider Name: SAN MATEO COUNTY
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Doing Business As: ELYSIAN STRTP COUNTY OF SAN MATEO
  • Address: 31 TOWER RD
    SAN MATEO, CA
    ZIP 94402
  • Phone: (650) 312-5320

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NPI Details

SAN MATEO COUNTY is a residential treatment facility emotionally disturbed children in San Mateo, CA. The provider is 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. SAN MATEO COUNTY NPI is 1730721929. The provider is registered as an organization entity type.
The provider Is Doing Business As Elysian Strtp County Of San Mateo.

The provider's business location address is:

31 TOWER RD
SAN MATEO, CA
ZIP 94402-000
Phone: (650) 312-5320
Fax: (650) 572-2414

The provider's authorized official is Natasha Bourbonnais .
The authorized official title is Human Services Manager Ii and has the following contact phone number (650) 802-6583.

The enumeration date for this NPI number is 10/9/2019 and was last updated on 8/25/2022.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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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