CSP (NPI# 1053441113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053441113 |
| Entity Type | Organization |
| Organization Name | CSP |
| Practice Address |
980 Catalina Laguna Beach CA 92651-2748 |
| Mailing Address |
65 Fleurance St Laguna Niguel CA 92677-9021 |
| Practice Telephone | 9492856477 |
| Mailing Telephone | 9492856477 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | JENNIFER MARIN ROSS (COUNSELOR II) |
| Authorized Official Telephone | 9492856477 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | CSP COMMUNITY SERVICE PROGRAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 48267 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992046601 | Csp | Case Management | 1221 E Dyer Rd, Suite 220, Santa Ana, CA 92705-5600 | 2013-03-05 |
| 1376804237 | Csp | Residential Treatment Facility, Emotionally Disturbed Children | 980 Catalina, Laguna Beach, CA 92651-2748 | 2012-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CSP | Urb Montefiori 23 Calle Heliconia, Caguas, PR 00725 |
| Colorado Business Entities | CSP & Associates, LLC | 2240 Clay St., #102, Denver, CO 80211 |
| New York State Corporations | CSP - CRANBERRY RESIDENTIAL I LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - ENGLEWOOD RESIDENTIAL I LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - FORT MYERS RESIDENTIAL I LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - GAINESVILLE STUDENT HOUSING LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - GLASCO RESIDENTIAL I LLC | 64 Commercial Street, Suite 101, Rochester, Ny 14614 |
| New York State Corporations | CSP - TAMPA STUDENT HOUSING LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - VENICE RESIDENTIAL I LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| New York State Corporations | CSP - VENICE SELF STORAGE I LLC | 64 Commercial Street, Suite 401, Rochester, Ny 14614 |
| Street Address |
980 CATALINA |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063567378 | Csp Crisis Residential Program | Residential Treatment Facility, Emotionally Disturbed Children | 980 Catalina, Laguna Beach, CA 92651-2748 | 2007-01-24 |
| 1356973788 | Emma Rebecca Crissman | Marriage & Family Therapist | 980 Catalina, Laguna Beach, CA 92651-2748 | 2020-02-04 |
| 1891265542 | Marissa Hernandez | Social Worker | 980 Catalina, Laguna Beach, CA 92651-2748 | 2018-11-26 |
| 1043738933 | Myriam Rebecca Rodriguez | Social Worker | 980 Catalina, Laguna Beach, CA 92651-2748 | 2017-08-31 |
| 1447512108 | Community Service Programs | Community Based Residential Treatment Facility, Mental Illness | 980 Catalina, Laguna Beach, CA 92651-2748 | 2012-06-08 |
| 1376804237 | Csp | Residential Treatment Facility, Emotionally Disturbed Children | 980 Catalina, Laguna Beach, CA 92651-2748 | 2012-06-06 |
| 1790046167 | Jennifer Pentz | Marriage & Family Therapist | 980 Catalina, Laguna Beach, CA 92651-2748 | 2012-06-01 |
| 1356650402 | Gabriella Lauren Roemer | Marriage & Family Therapist | 980 Catalina, Laguna Beach, CA 92651-2748 | 2010-10-06 |
| 1588825426 | Jennifer Marin Cooper | Counselor | 980 Catalina, Laguna Beach, CA 92651-2748 | 2008-06-23 |
| 1467650838 | Katherine Ellen Baxter | Marriage & Family Therapist | 980 Catalina, Laguna Beach, CA 92651-2748 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| 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 |
|---|---|---|---|---|
| 1063567378 | Csp Crisis Residential Program | Residential Treatment Facility, Emotionally Disturbed Children | 980 Catalina, Laguna Beach, CA 92651-2748 | 2007-01-24 |
| 1376804237 | Csp | Residential Treatment Facility, Emotionally Disturbed Children | 980 Catalina, Laguna Beach, CA 92651-2748 | 2012-06-06 |
| 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 | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
Please comment or provide details below to improve the information on CSP.
| 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.