PHASES INTEGRATION PROGRAM, LLC (NPI# 1659824712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659824712 |
| Entity Type | Organization |
| Organization Name | PHASES INTEGRATION PROGRAM, LLC |
| Practice Address |
810 Emerald St #101 San Diego CA 92109-2712 |
| Mailing Address |
13424 Tiverton Rd San Diego CA 92130-1021 |
| Practice Telephone | 8583457422 |
| Mailing Telephone | 8583457422 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | SHANA SHATERIAN (OWNER) |
| Authorized Official Telephone | 8583457422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
810 EMERALD ST #101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982732525 | Terrance James Brown | Marriage & Family Therapist | 810 Emerald St, Suite 123, San Diego, CA 92109-2712 | 2007-03-02 |
| 1881963932 | Abc Sober Living | Substance Abuse Rehabilitation Facility | 810 Emerald St, San Diego, CA 92109-2712 | 2011-12-19 |
| 1164697769 | Lisa Talerico | Psychologist | 810 Emerald St, #123, San Diego, CA 92109-2712 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148692 | North County Therapy for Young Men | Case Management | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-24 |
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| 1083163067 | Sober Coaches of California LLC | Case Management | 5980 Dandridge Ln, Unit 208, San Diego, CA 92115-6580 | 2016-10-01 |
| 1689121972 | Ebony P Brown | Case Management | 3725 Old Cobble Rd, San Diego, CA 92111-4051 | 2016-09-05 |
| 1598122871 | Primary Care Health Network LLC | Case Management | 7535 Metropolitan Dr, San Diego, CA 92108-4402 | 2016-01-18 |
| 1033545066 | Christie's Place, Inc. | Case Management | 2440 3rd Ave, San Diego, CA 92101-1516 | 2013-09-23 |
| 1235400490 | Family Youth Roundtable of San Diego County | Case Management | 345 15th St, Suite A, San Diego, CA 92101-8951 | 2012-01-19 |
| 1831467752 | Marylin Joy Williams | Case Management | 4851 Casals Pl, San Diego, CA 92124-1502 | 2011-12-06 |
| 1144509878 | International Care LLC | Case Management | 200 Harbor Dr, #501, San Diego, CA 92101-7049 | 2011-08-11 |
| 1679875710 | Heavenly Angels Home Care | Case Management | 4709 Mount Abernathy Ave, San Diego, CA 92117-3340 | 2010-11-22 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on PHASES INTEGRATION PROGRAM, LLC.
| 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.