CASA DE AMPARO (NPI# 1588868525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588868525 |
| Entity Type | Organization |
| Organization Name | CASA DE AMPARO |
| Practice Address |
3355 Mission Ave Oceanside CA 92054-1326 |
| Practice Telephone | 7607545517 |
| Mailing Telephone | 7607545517 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TRINETTE M. CONOVER (THERAPIST INTERN) |
| Authorized Official Telephone | 7607545517 |
| Authorized Official Credential | IMF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 51017 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275676 | Casa De Amparo | Residential Treatment Facility, Emotionally Disturbed Children | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2014-08-15 |
| 1235482837 | Casa De Amparo | Foster Care Agency | 325 Buena Creek Rd, San Marcos, CA 92069-9679 | 2012-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASA DE AMPARO | 325 Buena Creek Rd, San Marcos, CA 92069-9679 |
| Street Address |
3355 MISSION AVE |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093740631 | Julie Mennen | Psychologist | 3355 Mission Ave, Suite 231, Oceanside, CA 92058-1326 | 2006-07-12 |
| 1447872072 | Marie Espinal | Physician Assistant | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2020-05-18 |
| 1659918647 | Douglas Howard Jones | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-12-09 |
| 1275170714 | Halley Louise Edwards | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-12-03 |
| 1083260632 | Sidney Destiny Chavez | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-08-09 |
| 1730733494 | Arlette Salazar Zamora | Behavioral Analyst | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-07-30 |
| 1942853890 | Yvette Arenas | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-07-19 |
| 1619535473 | Madison Paige Sorensen | Behavioral Analyst | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-06-05 |
| 1770042491 | Stephanie Gabrielle Norwood | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2019-03-13 |
| 1942784327 | Comprehensive Autism Center | Behavior Technician | 3355 Mission Ave, Oceanside, CA 92058-1326 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094084 | Milestone House | Residential Treatment Facility, Emotionally Disturbed Children | 1816 Portofino Dr, Oceanside, CA 92054-6130 | 2020-02-12 |
| 1295275022 | Center for Positive Changes | Residential Treatment Facility, Emotionally Disturbed Children | 5104 Eliot St, Oceanside, CA 92057-2646 | 2017-02-27 |
| 1447724141 | Center for Positive Changes Stay | Residential Treatment Facility, Emotionally Disturbed Children | 5104 Eliot St, Oceanside, CA 92057-2646 | 2019-01-15 |
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| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
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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.