MISS KATHERINE RAFTERY


Address: 3570 Granada Ave, San Diego, CA 92104-4145
Phone: 6197721172

MISS KATHERINE RAFTERY (NPI# 1710531405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710531405
Entity Type Individual
Full Name MISS KATHERINE RAFTERY
Practice Address 3570 Granada Ave
San Diego
CA 92104-4145
Practice Telephone 6197721172
Mailing Telephone 6197721172
Enumeration Date 2019-07-31
Last Update Date 2019-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 3570 GRANADA AVE
City SAN DIEGO
State CA
Zip Code 92104-4145

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1780100636 Nicole Palacios Counselor 4170 Texas Street, Apt 1, San Diego, CA 92104 2017-08-22
1063938587 Indie C Oliver Landrum Case Manager/Care Coordinator 2220 Broadway, San Diego, CA 92104 2017-08-16
1669829008 Krystah Lynn Smith Doula 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 2016-05-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1790390359 Institute of Behavioral Sciences and Technology Family Counseling Community/Behavioral Health 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 2020-09-10
1902426018 Clayton Counseling Licensed Clinical Social Worker Inc. Community/Behavioral Health 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 2020-04-17
1679113765 Kristina Copley Marriage and Family Therapy, Inc Community/Behavioral Health 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 2020-01-07
1417598319 Open Heart Leaders Community/Behavioral Health 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 2019-10-01
1063064509 Abigail Frances Swan Community/Behavioral Health 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 2019-07-15
1548726862 Unscripted Learning Community/Behavioral Health 3717 India St, San Diego, CA 92103-3727 2019-02-11
1356806509 Vista Hill Foundation Community/Behavioral Health 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 2019-02-01
1891275707 Kelley Kozlowski Community/Behavioral Health 4804 Iroquois Ave, San Diego, CA 92117-6248 2018-08-20
1780162594 Shirley Kim Community/Behavioral Health 10527 Caminito Pollo, San Diego, CA 92126-2816 2018-08-02
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Competitor

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City SAN DIEGO
Zip Code 92104

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Dataset Information

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.

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