CAMELOT AT AFFINITYTREATMENT CENTERS INC (NPI# 1225440613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225440613 |
| Entity Type | Organization |
| Organization Name | CAMELOT AT AFFINITYTREATMENT CENTERS INC |
| Practice Address |
2035 Alta Vista Dr Vista CA 92084-7017 |
| Practice Telephone | 7607247898 |
| Practice Fax Number | 7604149127 |
| Mailing Telephone | 7607247898 |
| Mailing Fax Number | 7604149127 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | JUDITH MOSS (CEO/OWNER) |
| Authorized Official Telephone | 7607247898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 374601463 | CA | Residential Treatment Facilities |
| Street Address |
2035 ALTA VISTA DR |
| City | VISTA |
| State | CA |
| Zip Code | 92084-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417239864 | Judith K Moss | Community Based Residential Treatment Facility, Mental Illness | 2035 Alta Vista Dr, Vista, CA 92084-7017 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361615 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1013 Crest View Rd, Vista, CA 92081-6806 | 2018-09-26 |
| 1417239864 | Judith K Moss | Community Based Residential Treatment Facility, Mental Illness | 2035 Alta Vista Dr, Vista, CA 92084-7017 | 2011-09-12 |
| 1043436801 | Kids First Foundation | Community Based Residential Treatment Facility, Mental Illness | 2590 Majella Rd, Vista, CA 92084-1627 | 2007-04-18 |
| 1871716894 | Kids First Foundation | Community Based Residential Treatment Facility, Mental Illness | 1427 York Dr, Vista, CA 92084-7609 | 2007-04-10 |
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| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.