CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM (SAN DIEGO CENTER FOR CHILDREN) NPI 1003009143

Residential Treatment Facility, Emotionally Disturbed Children in San Diego, CA

NPI 1003009143 Organization Residential Treatment Facility, Emotiona...

About CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM (SAN DIEGO CENTER FOR CHILDREN)

Children's L14 Residential Treatment Program (san Diego Center For Children) is a provider established in San Diego, California specializing in residential treatment facility, emotionally disturbed children. The NPI number of Children's L14 Residential Treatment Program (san Diego Center For Children) is 1003009143 and was assigned on August 2007. The practitioner's primary taxonomy code is 322D00000X with license number 374600859 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Children's L14 Residential Treatment Program. The authorized official of this NPI record is Diana Landis (Director Of Finance)

NPI

1003009143

Provider NameCHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM (SAN DIEGO CENTER FOR CHILDREN)
Provider Location Address3002 ARMSTRONG ST SAN DIEGO, CA 92111
Provider Mailing Address3002 ARMSTRONG ST SAN DIEGO, CA 92111
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM
Other Name TypeDoing Business As (3)
Enumeration Date08-22-2007
Last Update Date02-08-2016


Primary Taxonomy

Taxonomy Code322D00000X
ClassificationResidential Treatment Facility, Emotionally Disturbed Children
TypeResidential Treatment Facilities
License No.374600859
License StateCA
Taxonomy DescriptionA 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.

Business Address

CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM
3002 ARMSTRONG ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 277-9550

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Mailing Address

CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM
3002 ARMSTRONG ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 277-9550



Authorized Official

Authorized Official Name DIANA LANDIS
Authorized Official TitleDIRECTOR OF FINANCE
Authorized Official Phone(858) 569-2110

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
37FGOTHER (01)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649348061MS. ARIEL MIRANA FLETCHER I MF
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(619) 569-2207
1265588305MS. CARRIE KINTZ LCSW
Individual
Social Worker (Clinical)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 688-2485
1104969146MR. HARVEY REMPEL IMF
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2172
1083758601DR. MEGAN C. ANDERSON PH.D.
Individual
Psychologist (Clinical)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 688-2479
1407982614 KRISTIN HAMSTROM
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 279-2763
1255469011MS. ANNA MARIE CARMICHAEL IMF
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2179
1326179151 CELIA LORAINE ENGELMAN LCSW
Individual
Social Worker (Clinical)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1427189299MRS. PAMELA JO HANSEN L.C.S.W
Individual
Social Worker (Clinical)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1932232758MS. DANIELLE STUBBS GREEN
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1972729218MRS. LOUISE CRUZ ZAVALA
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1740483940 ROSIE LEE ARNELL
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 688-2483
1962605071 MAYLIN D GRIFFITHS PH.D.
Individual
Psychologist (Clinical Child & Adolescent)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(999) 999-9999
1659565018MS. LINDY ROSS MS
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1679768014MRS. MELINDA KAY ROSE IMF
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1275711038MRS. B SONIA CURTIS
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2169
1982854394MR. STEWART CRAIG HOLZMAN MA
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2116
1972756591 JANNA LIPKA IMF
Individual
Marriage & Family Therapist3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2128
1417196908 ALICIA FARRELL M.A.
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-2143
1447482211 JESSICA RAYANNE LAGUNA BA
Individual
Counselor3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 277-9550
1639301997 JOHN FLUETSCH
Individual
Counselor (Mental Health)3002 ARMSTRONG ST
SAN DIEGO, CA 92111
(858) 569-3950

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.