Provider Demographics
NPI:1174875512
Name:UCSF STUDENT HEALTH AND COUNSELING SERVICES
Entity type:Organization
Organization Name:UCSF STUDENT HEALTH AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAITALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:415-476-1683
Mailing Address - Street 1:500 PARNASSUS AVE
Mailing Address - Street 2:MILLBERRY UNION, LEVEL P8, ROOM 005
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0722
Mailing Address - Country:US
Mailing Address - Phone:415-476-1281
Mailing Address - Fax:415-476-6137
Practice Address - Street 1:500 PARNASSUS AVE
Practice Address - Street 2:MILLBERRY UNION, LEVEL P8, ROOM 005
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0722
Practice Address - Country:US
Practice Address - Phone:415-476-1281
Practice Address - Fax:415-476-6137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UC REGENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health