SAN DIEGO STUDENT RECOVERY (NPI# 1083165971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083165971 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO STUDENT RECOVERY |
| Practice Address |
5440 Morehouse Dr Suite 4500 San Diego CA 92121-1798 |
| Practice Telephone | 6197231581 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | ELIZABETH HILL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6197231581 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | SOBER COLLEGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5440 MOREHOUSE DR SUITE 4500 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609859693 | Timothy D Reed | Chiropractor | 5440 Morehouse Dr, Ste 1700, San Diego, CA 92121-1798 | 2005-11-22 |
| 1487032975 | Andrea Beck | Acupuncturist | 5440 Morehouse Dr, 1700, San Diego, CA 92121-1798 | 2015-05-15 |
| 1467705053 | Courtney Jean Salamone | Marriage & Family Therapist | 5440 Morehouse Dr, Suite 3800, San Diego, CA 92121-1798 | 2012-10-19 |
| 1427332576 | Mary Elaine Heard | Counselor | 5440 Morehouse Dr, Suite 3800, San Diego, CA 92121-1798 | 2011-10-07 |
| 1730475575 | Jennifer Marie Elkins | Social Worker | 5440 Morehouse Dr, Suite 3800, San Diego, CA 92121-1798 | 2011-06-20 |
| 1912153016 | Kayla Louise Biewer | Chiropractor | 5440 Morehouse Dr, #1700, San Diego, CA 92121-1798 | 2008-08-08 |
| 1841485208 | Arvinda Reddy Kunduru | Dentist | 5440 Morehouse Dr, Suite 1800, San Diego, CA 92121-1798 | 2007-09-10 |
| 1043397789 | Karen Kerschmann | Social Worker | 5440 Morehouse Dr, 3800 Box 20, San Diego, CA 92121-1798 | 2006-11-01 |
| 1437179918 | Dalya Taube Rubanenko | Chiropractor | 5440 Morehouse Dr, Ste 1700, San Diego, CA 92121-6703 | 2006-07-20 |
| 1073546057 | Bindu Singhal | Internal Medicine | 5440 Morehouse Dr, Suite 1700, San Diego, CA 92121-1798 | 2006-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1790390359 | Institute of Behavioral Sciences and Technology Family Counseling | Community/Behavioral Health | 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 | 2020-09-10 |
| 1902426018 | Clayton Counseling Licensed Clinical Social Worker Inc. | Community/Behavioral Health | 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 | 2020-04-17 |
| 1679113765 | Kristina Copley Marriage and Family Therapy, Inc | Community/Behavioral Health | 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 | 2020-01-07 |
| 1417598319 | Open Heart Leaders | Community/Behavioral Health | 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 | 2019-10-01 |
| 1710531405 | Katherine Raftery | Community/Behavioral Health | 3570 Granada Ave, San Diego, CA 92104-4145 | 2019-07-31 |
| 1063064509 | Abigail Frances Swan | Community/Behavioral Health | 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 | 2019-07-15 |
| 1548726862 | Unscripted Learning | Community/Behavioral Health | 3717 India St, San Diego, CA 92103-3727 | 2019-02-11 |
| 1356806509 | Vista Hill Foundation | Community/Behavioral Health | 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 | 2019-02-01 |
| 1891275707 | Kelley Kozlowski | Community/Behavioral Health | 4804 Iroquois Ave, San Diego, CA 92117-6248 | 2018-08-20 |
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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.