GWENDOLYN MARIE HAMILTON


Address: 2516 A St, San Diego, CA 92102-2111
Phone: 6192350592

GWENDOLYN MARIE HAMILTON (NPI# 1790241180) 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) 1790241180
Entity Type Individual
Full Name GWENDOLYN MARIE HAMILTON
Credential RADT1
Practice Address 2516 A St
San Diego
CA 92102-2111
Practice Telephone 6192350592
Enumeration Date 2019-02-11
Last Update Date 2019-02-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA THE WAY BACK 324500000X 01

Other Providers GWENDOLYN HAMILTON

NPI Name Taxonomy Address Enumeration
1538464623 Gwendolyn Hamilton Licensed Practical Nurse 1655 The Greens Way Apt 2725, Jacksonville Beach, FL 32250-2465 2011-01-20
1689879884 Gwendolyn Hamilton Specialist 725 Welch Rd, Palo Alto, CA 94304-1601 2007-06-18

Office Location

Street Address 2516 A ST
City SAN DIEGO
State CA
Zip Code 92102-2111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578693065 The Way Back Substance Abuse Rehabilitation Facility 2516 A St, San Diego, CA 92102-2111 2007-03-06
1871121327 Robert Sutherland Counselor 2516 A St, San Diego, CA 92102-2111 2020-03-31
1902430333 Kevin Foster Counselor 2516 A St, San Diego, CA 92102-2199 2020-02-25
1588294565 Joseph Richard Sternberg Counselor 2516 A St, San Diego, CA 92102-2111 2020-01-18
1205472107 Robert Alton Schneider Counselor 2516 A St, San Diego, CA 92102-2111 2019-11-26
1942859673 David Hedley Counselor 2516 A St, San Diego, CA 92102-2199 2019-09-05
1194284612 Michael Christopher Schmitt Jr. Counselor 2516 A St, San Diego, CA 92102-2111 2019-03-14
1588120380 Brian Michael Bauers Counselor 2516 A St, San Diego, CA 92102-2111 2019-02-16
1396201786 Sage Robinson Substance Abuse Rehabilitation Facility 2516 A St, San Diego, CA 92102-2111 2019-02-11
1538624309 Aaron Michael De La Vergne Counselor 2516 A St, San Diego, CA 92102-2111 2019-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1851887020 Monique Joseph Counselor 2410 E. Street, San Diego, CA 92102 2018-07-10
1184166316 Elise Blanton-hubbard Counselor 1850 Dale St, San Diego, CA 92102 2016-11-04
1699221416 Kari Judith Medina Student in an Organized Health Care Education/Training Program 1199 34th Street Apt 11, San Diego, CA 92102 2016-08-31
1942674536 Caitlin Hillary Dablow Speech-Language Pathologist 1201 34th Street, San Diego, CA 92102 2015-11-19
1134508179 Jonathan Waters Military Health Care Provider 1233 22nd Street, Unit 8, San Diego, CA 92102 2015-05-22
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
1023421021 Elmira Aghdam Chiropractor 5030 Bonita Rd Ste#b, Bonita, CA 92102 2014-06-06
1487092540 Sherry Scott Marriage & Family Therapist 995 Gateway Center Drive #300, San Diego, CA 92102 2013-06-11
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SAN DIEGO
Zip Code 92102

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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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