Basic Information
| Provider Information | |||||||||
| NPI: | 1336266089 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHMITZ | ||||||||
| FirstName: | ANDREAS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1060 HOWARD ST | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941032820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158655252 | ||||||||
| FaxNumber: | 4158634867 | ||||||||
| Practice Location | |||||||||
| Address1: | 1060 HOWARD ST | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941032820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158655252 | ||||||||
| FaxNumber: | 4158634867 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 10/06/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFC28710 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | 6045 | 01 | SFGH INTERNAL USE ONLY | OTHER | 6045 | 01 | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | OTHER |