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MR. GERALD R SHIREY III CADC-II, ICADC
NPI 1629554803
Counselor - Addiction (Substance Use Disorder) in Campo, CA

Active since July 11, 2018
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696(619) 478-2404 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gerald R Shirey Iii Cadc-ii, Icadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERALD R SHIREY III CADC-II, ICADC (NPI 1629554803) is an individual addiction (substance use disorder) provider in Campo, California, licensed in California (A048880118) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1629554803
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GERALD R SHIREY IIICredential: CADC-II, ICADC
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (619) 478-5696 · Fax (619) 478-2404
Phone(619) 478-5696
Fax(619) 478-2404
Sole ProprietorYes
Enumeration DateJuly 11, 2018
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1629554803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A048880118
1777 BUCKMAN SPRINGS RD, Campo, CA 91906
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMAR HERNANDEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
JONATHAN SANDOVAL CCMA
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
MR. MARCO MARTINEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CORINNA D. BYNUM RN
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
TIM SHAPLIN RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
SAN DIEGO FREEDOM RANCH, INC.
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CARLOS ALBERTO RAMIREZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHRISTOPHER DAVID SERNA CPSS
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Shirey's NPI number?

The NPI number for Gerald Shirey is 1629554803. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Gerald Shirey located?

Gerald Shirey practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (619) 478-5696.

What is Gerald Shirey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gerald Shirey was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.