A MISSION FOR MICHAEL, INC. (NPI# 1144668468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144668468 |
| Entity Type | Organization |
| Organization Name | A MISSION FOR MICHAEL, INC. |
| Practice Address |
34270 Pacific Coast Hwy Ste N Dana Point CA 92629-2825 |
| Practice Telephone | 9494890950 |
| Mailing Telephone | 9494890950 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |
| Authorized Official Name | JOHN SMITH III (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7143927306 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 143 717 5189 | 01 |
| Street Address |
34270 PACIFIC COAST HWY STE N |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| Find all providers in zip 92629 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073650727 | County of Orange | Clinic/Center | 24242 La Cresta Dr, Dana Point, CA 92629-2561 | 2007-01-31 |
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| 1477192813 | Wellness Recovery Retreat Center | Clinic/Center | 1562 Meridian Ave, San Jose, CA 95125-5319 | 2020-01-02 |
| 1548818636 | Advent Healthcare Solutions, LLC | Clinic/Center | 255 W Fallbrook Ave Ste 102, Fresno, CA 93711-6151 | 2019-08-31 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1144795261 | Divine Bliss, Inc. | Clinic/Center | 1219 Parnell Pl, Costa Mesa, CA 92626-2737 | 2018-10-04 |
| 1407346489 | True North Detox LLC | Clinic/Center | 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 | 2018-05-15 |
| 1851898811 | Sober First Recovery LLC | Clinic/Center | 3309 Clay St, Newport Beach, CA 92663-4208 | 2018-04-06 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1356860738 | Destiny Recovery Center Iop | Clinic/Center | 23041 Avenida De La Carlota Ste 280, Laguna Hills, CA 92653-1531 | 2017-09-17 |
| 1073966370 | New U Beginnings Inc | Clinic/Center | 5205 Agnes Ave, Valley Village, CA 91607-2701 | 2016-07-21 |
| Find all providers with the same taxonomy | ||||
| City | DANA POINT |
| Zip Code | 92629 |
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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.