INTERFAITH COMMUNITY SERVICES (NPI# 1265074611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265074611 |
| Entity Type | Organization |
| Organization Name | INTERFAITH COMMUNITY SERVICES |
| Practice Address |
550 W Washington Ave Escondido CA 92025-1643 |
| Practice Telephone | 7604896380 |
| Mailing Telephone | 7604896380 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | DR. MEGAN HAWKER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6195358827 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERFAITH COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Behavioral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932767381 | Interfaith Community Services | Community/Behavioral Health | 250 N Ash St, Escondido, CA 92027-3026 | 2019-05-31 |
| 1962987941 | Interfaith Community Services | Case Management | 250 N Ash St, Escondido, CA 92027-3026 | 2018-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH COMMUNITY SERVICES | 550 W Washington Ave Ste B, Escondido, CA 92025-1643 |
| Street Address |
550 W WASHINGTON AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912079518 | Thomas Grant Carlton | Psychiatry & Neurology | 550 W Washington Ave, Escondido, CA 92025 | 2006-11-15 |
| 1851999049 | Ciji Foote | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-10-12 |
| 1639784937 | Tony Rocha | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-09-14 |
| 1063039295 | Chrystal Williams | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-07-04 |
| 1730703091 | Angela Kuzara | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-06-02 |
| 1811516735 | Maria Xiao-mei Lee-doepke | Social Worker | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-04-10 |
| 1760016950 | Sandra Loujane Priest | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2020-02-26 |
| 1619522109 | Christine Lynn Carroll | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2019-08-02 |
| 1760940423 | Vanessa Vizcaino Collis | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2019-03-12 |
| 1336610674 | Brandon Edward Duffy | Counselor | 550 W Washington Ave, Escondido, CA 92025-1643 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| 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 |
|---|---|---|---|---|
| 1245895176 | Karina D Ibarra | Community/Behavioral Health | 1050 Rock Springs Rd Unit 219, Escondido, CA 92026-2438 | 2019-05-06 |
| 1831620871 | Mental Health Systems, Inc. | Community/Behavioral Health | 410 Hidden Trails Rd, Escondido, CA 92027-5333 | 2017-03-22 |
| 1588936074 | Key To Behavior, LLC | Community/Behavioral Health | 3144 Beven Dr, Escondido, CA 92027-6229 | 2012-01-31 |
| 1891906400 | St. Clare's Home | Community/Behavioral Health | 2091 E Valley Pkwy, Escondido, CA 92027-2743 | 2007-05-25 |
| 1174666010 | Mental Health Systems, Inc. | Community/Behavioral Health | 474 W Vermont Ave Ste 103, Escondido, CA 92025-6584 | 2007-02-14 |
| 1932767381 | Interfaith Community Services | Community/Behavioral Health | 250 N Ash St, Escondido, CA 92027-3026 | 2019-05-31 |
| 1235600545 | Exodus Recovery, Inc. | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2018-12-12 |
| 1811472954 | Sunshine Counseling LLC | Community/Behavioral Health | 810 E Grand Ave, Escondido, CA 92025-3402 | 2018-09-25 |
| 1659895340 | Community Research Foundation Inc | Community/Behavioral Health | 337 W Mission Ave, Escondido, CA 92025-1729 | 2017-08-03 |
| 1205370806 | Avid Aba Services | Community/Behavioral Health | 562 W Grand Ave, Escondido, CA 92025-2502 | 2016-12-15 |
| Find all providers in ESCONDIDO | ||||
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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.