VISTA HILL FOUNDATION (NPI# 1548615487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548615487 |
| Entity Type | Organization |
| Organization Name | VISTA HILL FOUNDATION |
| Other Organization Name | BRIDGES TEEN RECOVERY CENTER MORSE HIGH SCHOOL |
| Practice Address |
6905 Skyline Dr B21 San Diego CA 92114-5928 |
| Mailing Address |
8910 Clairemont Mesa Blvd San Diego CA 92123-1104 |
| Practice Telephone | 6197957232 |
| Practice Fax Number | 6197957256 |
| Mailing Telephone | 8585145100 |
| Mailing Fax Number | 8585145192 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MR. ROBERT DEAN (CEO) |
| Authorized Official Telephone | 8585145100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Bridges Teen Recovery Center Morse High School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806509 | Vista Hill Foundation | Community/Behavioral Health | 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 | 2019-02-01 |
| 1285007468 | Vista Hill Foundation | Community/Behavioral Health | 220 Euclid Ave Ste 40, San Diego, CA 92114-3617 | 2015-11-10 |
| 1891833125 | Vista Hill Foundation | Community/Behavioral Health | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2007-02-01 |
| 1003472226 | Vista Hill Foundation | Community/Behavioral Health | 6070 Mission Gorge Rd, San Diego, CA 92120-4023 | 2019-05-13 |
| 1104481712 | Vista Hill Foundation | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2019-05-08 |
| 1851801922 | Vista Hill Foundation | Case Management | 3148 Midway Dr Ste 113, San Diego, CA 92110-4539 | 2017-10-03 |
| 1558716381 | Vista Hill Foundation | Community/Behavioral Health | 4777 Imperial Ave, Rooms 506 and 509, San Diego, CA 92113-2071 | 2016-04-29 |
| 1730567199 | Vista Hill Foundation | Counselor | 220 Euclid Ave, Suite 40, San Diego, CA 92114-3644 | 2015-05-18 |
| 1487059549 | Vista Hill Foundation | Clinic/Center | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2014-10-30 |
| 1902160104 | Vista Hill Foundation | Community/Behavioral Health | 1600 N Cuyamaca St, El Cajon, CA 92020-1109 | 2012-07-02 |
| Street Address |
6905 SKYLINE DR B21 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396845277 | Elaine Gabayan Mains | Marriage & Family Therapist | 6905 Skyline Dr, San Diego, CA 92114-5928 | 2006-09-22 |
| 1841725868 | Michael James Vandenbroek | Specialist/Technologist | 6905 Skyline Dr, San Diego, CA 92114-5928 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| 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.