Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ATHENA M. BURNSIDE

Active Sole Proprietor

Adult Mental Health Clinic · SAN MATEO, CA

Registration Details

NPI Number: 1023581196
Provider Type: Individual
Gender: Female
NPI Issued: Jan 10, 2019 (7.27787376516 yrs)
Last Updated: Apr 23, 2019
Sole Proprietor: Yes

Practice Information

Address: 2600 S EL CAMINO REAL STE 200

SAN MATEO, CA, 944032382
Browse CA providers · Browse ZIP 94403
Phone: 6503724080
Fax: 6504009662
Primary Specialty: Adult Mental Health Clinic
261QM0850X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.