MHCD LLC (NPI# 1346564754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346564754 |
Entity Type | Organization |
Organization Name | MHCD LLC |
Other Organization Name | THE CROSBY CENTER |
Practice Address |
11828 Rancho Bernardo Rd Suite 201 San Diego CA 92128-1912 |
Mailing Address |
555 W Country Club Ln Suite C230 Escondido CA 92026-1226 |
Practice Telephone | 8583859399 |
Mailing Telephone | 7607512889 |
Mailing Fax Number | 8583859456 |
Enumeration Date | 2010-03-15 |
Last Update Date | 2010-03-16 |
Authorized Official Name | MR. LARRY BURNS I (DIRECTOR) |
Authorized Official Telephone | 8583859399 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
========= | CA | Ambulatory Health Care Facilities |
Y | 324500000X | Substance Abuse Rehabilitation Facility | 2008004482 | CA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
The Crosby Center | Other Name - Individual/Organization |
Street Address |
11828 RANCHO BERNARDO RD SUITE 201 |
City | SAN DIEGO |
State | CA |
Zip Code | 92128-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437234507 | Shawn S Ranejat | Dentist | 11828 Rancho Bernardo Rd, Suite 203, San Diego, CA 92128-1912 | 2006-10-26 |
1174997936 | Kim Anh Thi Nguyen, Dmd, Inc. | Dentist | 11828 Rancho Bernardo Rd, Ste 203, San Diego, CA 92128-1912 | 2015-11-17 |
1518248467 | Neuro Science Institute | Community Based Residential Treatment Facility, Mental Illness | 11828 Rancho Bernardo Rd, Suite 201, San Diego, CA 92128-1912 | 2011-09-06 |
1881831451 | Applied Psychology Systems, L.L.C. | Marriage & Family Therapist | 11828 Rancho Bernardo Rd, Suite 201, San Diego, CA 92128-1912 | 2009-01-19 |
1659525186 | Diva Pati Clair | Marriage & Family Therapist | 11828 Rancho Bernardo Rd, Suite 201, San Diego, CA 92128-1912 | 2008-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
Find all providers in zip 92128 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
1891320099 | Refresh Recovery LLC | Substance Abuse Rehabilitation Facility | 4141 Jutland Dr Ste 110, San Diego, CA 92117-3658 | 2020-03-08 |
1447804612 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 2821 B St, San Diego, CA 92102-2208 | 2019-07-26 |
1619531530 | La Jolla Recovery Inc | Substance Abuse Rehabilitation Facility | 2140 Hartford St, San Diego, CA 92110-1312 | 2019-04-25 |
1558835264 | Jfccm LLC | Substance Abuse Rehabilitation Facility | 6122 El Cajon Blvd, San Diego, CA 92115-3914 | 2019-01-15 |
1255801767 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 3025 Reynard Way, San Diego, CA 92103-5434 | 2018-11-27 |
1831681576 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4971 Cresita Dr, San Diego, CA 92115-2339 | 2018-05-30 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
1518458298 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4959 Cresita Dr, San Diego, CA 92115-2339 | 2018-05-29 |
1982108841 | Pathfinders of San Diego | Substance Abuse Rehabilitation Facility | 1530 Dale St, San Diego, CA 92102-1519 | 2018-03-23 |
Find all providers in SAN DIEGO |
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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.