RADY CHILDREN'S OUTPATIENT PSYCHIATRY (NPI# 1003095589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003095589 |
| Entity Type | Organization |
| Organization Name | RADY CHILDREN'S OUTPATIENT PSYCHIATRY |
| Practice Address |
625 W Citracado Pkwy Suite 102 Escondido CA 92025-6428 |
| Practice Telephone | 7602949270 |
| Practice Fax Number | 7602949268 |
| Mailing Telephone | 7602949270 |
| Mailing Fax Number | 7602949268 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | LISA HAZELWOOD (SITE COORDINATOR) |
| Authorized Official Telephone | 7602949270 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760575963 | Rady Children's Outpatient Psychiatry | General Acute Care Hospital | 3559 Indiana St Apt 8, San Diego, CA 92103-5244 | 2006-10-02 |
| Street Address |
625 W CITRACADO PKWY SUITE 102 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593154 | Anatoly J Bulkin | Surgery | 625 W Citracado Pkwy, Suite 203, Escondido, CA 92025-6428 | 2006-03-24 |
| 1285948141 | Theresa Elena Meza | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2010-08-03 |
| 1376773648 | Nicole Bishop | Social Worker | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-07-21 |
| 1053541763 | Cheryl Estiva | Dentist | 625 W Citracado Pkwy, Suite #208, Escondido, CA 92025-6428 | 2009-07-16 |
| 1568696318 | Jennifer Fisher | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-05-08 |
| 1396998092 | Tahir R Paul Dental Corp | Dentist | 625 W Citracado Pkwy, Suite 208, Escondido, CA 92025-6428 | 2008-10-28 |
| 1922262849 | Theresa Marie Viglizzo | Rehabilitation Practitioner | 625 W Citracado Pkwy, 102, Escondido, CA 92025-6428 | 2008-07-10 |
| 1477715217 | Annie Patrice Burke-doe | Physical Therapist | 625 W Citracado Pkwy, Suite 102, Physical Therapy Department, Escondido, CA 92025-6428 | 2008-07-01 |
| 1790971158 | Christin Lytle | Rehabilitation Practitioner | 625 W Citracado Pkwy, Escondido, CA 92025-6428 | 2007-09-19 |
| 1801081757 | Crystal Chilton | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239779 | Palomar Health | Psychiatric Hospital | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2016-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.