CENTER FOR POSITIVE CHANGES (NPI# 1033659842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033659842 |
| Entity Type | Organization |
| Organization Name | CENTER FOR POSITIVE CHANGES |
| Other Organization Name | CENTER FOR POSITIVE CHANGES 2 |
| Practice Address |
5972 Kenyatta Ct San Diego CA 92114-5512 |
| Mailing Address |
9628 Campo Rd Ste M Spring Valley CA 91977-1233 |
| Practice Telephone | 6196772879 |
| Mailing Telephone | 6196603886 |
| Mailing Fax Number | 6196606604 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | DEANNA MELLOS (DIRECTOR) |
| Authorized Official Telephone | 6192480552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Center for Positive Changes 2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033659701 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 9671 Kenora Ln, Spring Valley, CA 91977-2902 | 2017-03-01 |
| 1295275022 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 5104 Eliot St, Oceanside, CA 92057-2646 | 2017-02-27 |
| 1326588138 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 3482 Saddle Dr, Spring Valley, CA 91977-2035 | 2017-02-27 |
| 1356881171 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 1674 Greenbrier Rd, West Sacramento, CA 95691-4910 | 2017-02-27 |
| 1912447731 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 946 Vista Del Monte Way, El Cajon, CA 92020-6829 | 2017-02-27 |
| Street Address |
5972 KENYATTA CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881162071 | Center for Positive Changes Stay | Residential Treatment Facility, Emotionally Disturbed Children | 5972 Kenyatta Ct, San Diego, CA 92114-5512 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306979406 | Ymca of San Diego County | Residential Treatment Facility, Emotionally Disturbed Children | 4394 30th St, San Diego, CA 92104-1314 | 2007-03-14 |
| 1700919735 | San Diego Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3004 Armstrong St, San Diego, CA 92111-5798 | 2007-03-13 |
| 1962534743 | Clark Adolescent Treatment Program | Residential Treatment Facility, Emotionally Disturbed Children | 3003 Armstrong St, San Diego, CA 92111-5701 | 2007-03-09 |
| 1881162071 | Center for Positive Changes Stay | Residential Treatment Facility, Emotionally Disturbed Children | 5972 Kenyatta Ct, San Diego, CA 92114-5512 | 2018-11-06 |
| 1982124483 | San Diego Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3002 Armstrong St, San Diego, CA 92111 | 2017-06-26 |
| 1144542150 | San Diego Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3003 Armstrong St, San Diego, CA 92111-5701 | 2010-02-17 |
| 1003009143 | San Diego Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3002 Armstrong St, San Diego, CA 92111-5702 | 2007-08-22 |
| 1508061573 | San Diego Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3003 Armstrong St, San Diego, CA 92111-5701 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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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.