| Hyde Street Community Services, Inc | |
|
815 Hyde St San Francisco CA 94109-5996 | |
| (415) 673-5700 | |
| (415) 292-7140 |
| Full Name | Hyde Street Community Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 815 Hyde St, San Francisco, California |
| Authorized Official Name and Position | Cynthia Faye Gyori (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4156735700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Street Community Services, Inc 815 Hyde St San Francisco CA 94109-5996 Ph: (415) 673-5700 | Hyde Street Community Services, Inc 815 Hyde St San Francisco CA 94109-5996 Ph: (415) 673-5700 |
| NPI Number | 1033278940 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 09/17/2014 |
| Medicare PECOS PAC ID | 6204093875 |
|---|---|
| Medicare Enrollment ID | O20120209000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033278940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Yates R Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639275704 PECOS PAC ID: 4082874250 Enrollment ID: I20120326000352 |
| Provider Name | Maria D Bradley-moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023261591 PECOS PAC ID: 0345400578 Enrollment ID: I20120327000268 |
| Provider Name | Lauren A Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164608444 PECOS PAC ID: 4880918945 Enrollment ID: I20150120000790 |
| Provider Name | Lila Louie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811139884 PECOS PAC ID: 4688998719 Enrollment ID: I20150121000893 |
| Provider Name | Cassandre M Cressall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010597 PECOS PAC ID: 3072838770 Enrollment ID: I20150220000003 |
| Provider Name | Hana Tylova-stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427367507 PECOS PAC ID: 8820376403 Enrollment ID: I20161102001374 |
| Provider Name | Kenny A Karyadi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699279679 PECOS PAC ID: 0840552881 Enrollment ID: I20180402002256 |
| Provider Name | Erin Elizabeth Muladore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285107516 PECOS PAC ID: 5092056895 Enrollment ID: I20190404000265 |
| Provider Name | Lauren Trestler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437562188 PECOS PAC ID: 0648511287 Enrollment ID: I20190409002818 |
| Provider Name | Maria Celles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912377573 PECOS PAC ID: 7810321437 Enrollment ID: I20200107000774 |
| Provider Name | Catherine Elizabeth Escher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619756673 PECOS PAC ID: 8325497084 Enrollment ID: I20231207000976 |
| Provider Name | Erika Maruyama |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013444991 PECOS PAC ID: 3577946896 Enrollment ID: I20240402000745 |
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