CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM (SAN DIEGO CENTER FOR CHILDREN) NPI 1003009143
Residential Treatment Facility, Emotionally Disturbed Children in San Diego, CA
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 Name | CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM (SAN DIEGO CENTER FOR CHILDREN) |
Provider Location Address | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 |
Provider Mailing Address | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | No |
Other Organization Name | CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM |
Other Name Type | Doing Business As (3) |
Enumeration Date | 08-22-2007 |
Last Update Date | 02-08-2016 |
Primary Taxonomy
Taxonomy Code | 322D00000X |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
Type | Residential Treatment Facilities |
License No. | 374600859 |
License State | CA |
Taxonomy Description | A 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
Mailing Address
CHILDREN'S L14 RESIDENTIAL TREATMENT PROGRAM
3002 ARMSTRONG ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 277-9550
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 |
---|---|---|
37FG | OTHER (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 |
---|---|---|---|
1649348061 | MS. ARIEL MIRANA FLETCHER I MF Individual | Counselor (Mental Health) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (619) 569-2207 |
1265588305 | MS. CARRIE KINTZ LCSW Individual | Social Worker (Clinical) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 688-2485 |
1104969146 | MR. HARVEY REMPEL IMF Individual | Marriage & Family Therapist | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 569-2172 |
1083758601 | DR. MEGAN C. ANDERSON PH.D. Individual | Psychologist (Clinical) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 688-2479 |
1407982614 | KRISTIN HAMSTROM Individual | Marriage & Family Therapist | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 279-2763 |
1255469011 | MS. ANNA MARIE CARMICHAEL IMF Individual | Marriage & Family Therapist | 3002 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 |
1427189299 | MRS. PAMELA JO HANSEN L.C.S.W Individual | Social Worker (Clinical) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 277-9550 |
1932232758 | MS. DANIELLE STUBBS GREEN Individual | Marriage & Family Therapist | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 277-9550 |
1972729218 | MRS. 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 |
1659565018 | MS. LINDY ROSS MS Individual | Counselor (Mental Health) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 277-9550 |
1679768014 | MRS. MELINDA KAY ROSE IMF Individual | Marriage & Family Therapist | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 277-9550 |
1275711038 | MRS. B SONIA CURTIS Individual | Counselor (Mental Health) | 3002 ARMSTRONG ST SAN DIEGO, CA 92111 (858) 569-2169 |
1982854394 | MR. 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 Therapist | 3002 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 | Counselor | 3002 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.