INCLUDE AUTISM, INC. (NPI# 1093041600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093041600 |
Entity Type | Organization |
Organization Name | INCLUDE AUTISM, INC. |
Practice Address |
625 Pennsylvania Ave San Diego CA 92103-4321 |
Mailing Address |
Po Box 720072 San Diego CA 92172-0072 |
Practice Telephone | 8586039835 |
Practice Fax Number | 6192552739 |
Mailing Telephone | 8586039835 |
Mailing Fax Number | 6192552739 |
Enumeration Date | 2009-11-02 |
Last Update Date | 2018-04-24 |
Authorized Official Name | TINA WATERS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8586039835 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Address | Telephone Number | Fax Number |
---|---|---|
15318 Pomerado Rd, Poway, CA 920642436 | 8586034812 |
Street Address |
625 PENNSYLVANIA AVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-4321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023671898 | Diana Velasquez | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-04-17 |
1396308128 | Rowen Kamfiroozie | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-04-17 |
1740843648 | Alessandro Navarro | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-04-16 |
1487116851 | Alejandro Cazessus | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-04-03 |
1427518125 | Makenzie Green | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-03-20 |
1609332741 | Laura Fleming | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-02-13 |
1629534037 | Bayron Deraz Rivera | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-02-11 |
1467925537 | Sarah Tracey | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-01-10 |
1952874513 | Briana Renze | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2019-01-07 |
1790253649 | Chun Hang Siu | Behavior Technician | 625 Pennsylvania Ave, San Diego, CA 92103-4321 | 2018-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
1710531405 | Katherine Raftery | Community/Behavioral Health | 3570 Granada Ave, San Diego, CA 92104-4145 | 2019-07-31 |
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 |
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.