SURVIVORS OF TORTURE, INTERNATIONAL (NPI# 1467711333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467711333 |
| Entity Type | Organization |
| Organization Name | SURVIVORS OF TORTURE, INTERNATIONAL |
| Practice Address |
3990 Old Town Ave Suite C201 San Diego CA 92110-2930 |
| Mailing Address |
Po Box 151240 San Diego CA 92175-1240 |
| Practice Telephone | 6192782424 |
| Practice Fax Number | 6192949405 |
| Mailing Telephone | 6192782424 |
| Mailing Fax Number | 6192949405 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | MRS. KATHI ANDERSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6192782407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3990 OLD TOWN AVE SUITE C201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347781 | James C Dillard Dr Chiropractic Corporation | Chiropractor | 3990 Old Town Ave, Ste A-105, San Diego, CA 92110 | 2006-06-24 |
| 1578044517 | Nance Lori Lovell | Counselor | 3990 Old Town Ave, San Diego, CA 92110 | 2018-08-28 |
| 1700307295 | Adriana B. Molina, Ph.d. Inc | Community/Behavioral Health | 3990 Old Town Ave, San Diego, CA 92110-2930 | 2017-07-05 |
| 1336688761 | Alexandra Shaw | Acupuncturist | 3990 Old Town Ave, Ste B107, San Diego, CA 92110-2930 | 2017-02-17 |
| 1386189488 | Karen Lese-fowler | Psychologist | 3990 Old Town Ave, Suite A208, San Diego, CA 92110-2930 | 2016-12-27 |
| 1952733446 | Kaija Marshall | Student in an Organized Health Care Education/Training Program | 3990 Old Town Ave, San Diego, CA 92110-2930 | 2013-08-06 |
| 1306185863 | Jay Jankowsky | Counselor | 3990 Old Town Ave, San Diego, CA 92110-2930 | 2013-02-04 |
| 1124367685 | Elizabeth Ann Hewes | Counselor | 3990 Old Town Ave, C107, San Diego, CA 92110-2930 | 2013-02-04 |
| 1427307370 | Jamie Rollins | Registered Nurse | 3990 Old Town Ave, Suite107, San Diego, CA 92110-2930 | 2012-09-06 |
| 1568710788 | Tracey Helene Castro | Registered Nurse | 3990 Old Town Ave, C107, San Diego, CA 92110-2930 | 2012-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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.