BAY RECOVERY CENTERS, INC. (NPI# 1780776708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780776708 |
| Entity Type | Organization |
| Organization Name | BAY RECOVERY CENTERS, INC. |
| Practice Address |
2206 Balboa Ave San Diego CA 92109-4735 |
| Mailing Address |
4241 Jutland Dr Suite 103 San Diego CA 92117-3663 |
| Practice Telephone | 8582746633 |
| Practice Fax Number | 8582746643 |
| Mailing Telephone | 8584903460 |
| Mailing Fax Number | 8584903462 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANTHONY HILL (CEO) |
| Authorized Official Telephone | 8584903460 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| X | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| X | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| X | 261Q00000X | Clinic/Center | ========= | CA | Ambulatory Health Care Facilities |
| X | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| X | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2206 BALBOA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913213 | Ryan Hummel | Chiropractor | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2006-07-15 |
| 1245537190 | Susan Orenstein | Acupuncturist | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2011-02-11 |
| 1427371699 | Hummel Chiropractic Center Prof Corp | Chiropractor | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2010-03-02 |
| 1174789424 | Kevin Pansky | Physical Therapist | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2008-08-05 |
| 1003969031 | Johannes R Sack | Family Medicine | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2007-01-21 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789573 | Shayla Robertson | Psychologist | 2602 Crosshaven Ln, San Diego, CA 92139-2952 | 2020-04-20 |
| 1467083949 | Corrine Joslyn Hufford | Psychologist | 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 | 2020-02-03 |
| 1225678840 | Nicholas Buhr | Psychologist | 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 | 2020-01-11 |
| 1215572003 | Alpha Theta Center, Inc | Psychologist | 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 | 2019-11-15 |
| 1740825686 | Jill Allison Cooley | Psychologist | 8543 Old Stonefield Chase, San Diego, CA 92127-6133 | 2019-11-14 |
| 1093350456 | Annie Lin | Psychologist | 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 | 2019-11-08 |
| 1164066072 | Elizabeth Kristin Stanton | Psychologist | 3910 Chapman St Ste I, San Diego, CA 92110-5644 | 2019-11-04 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1225505480 | Margaret Marie Williams | Psychologist | 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 | 2018-10-25 |
| 1841779154 | Carla Payne, Psychology, Inc. | Psychologist | 2525 Camino Del Rio S. #245, San Diego, CA 92108 | 2018-08-08 |
| 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.