NORTH COUNTY THERAPY FOR YOUNG MEN (NPI# 1780148692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780148692 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTY THERAPY FOR YOUNG MEN |
| Practice Address |
5985 El Cajon Blvd San Diego CA 92115-3827 |
| Mailing Address |
6113 Calera Pl San Diego CA 92130-6923 |
| Practice Telephone | 6192132079 |
| Mailing Telephone | 6192132079 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | CHRISTOPHER JOHN ZURES (OWNER) |
| Authorized Official Telephone | 6192132079 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIENCES | LPCC5986 | 01 |
| Street Address |
5985 EL CAJON BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087696 | Christopher John Zures | Counselor | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165688 | San Diego Center for Recreation, Inc. | Clinic/Center | 4535 Quantico Ave, San Diego, CA 92117-3831 | 2020-05-08 |
| 1548762388 | Ana Thomat, Ph.d., Psychologist, Inc. | Clinic/Center | 3368 2nd Ave Ste C1, San Diego, CA 92103-5666 | 2018-03-07 |
| 1871009332 | Farrow Psychological Services, Inc. | Clinic/Center | 9330 Carmel Mountain Rd Ste F, San Diego, CA 92129-2160 | 2017-12-20 |
| 1760916555 | Solara Health, Inc. | Clinic/Center | 1321 Garnet Ave, San Diego, CA 92109-3012 | 2017-04-18 |
| 1306379136 | Ruchira Densert, M.d. Inc | Clinic/Center | 5489 Bothe Ave, San Diego, CA 92122-4019 | 2017-04-08 |
| 1154867661 | Huffman Health | Clinic/Center | 18029 Calle Ambiente Suite 506, San Diego, CA 92127-0001 | 2017-01-09 |
| 1598364887 | Mental Health Center of San Diego | Clinic/Center | 960 Grand Ave, San Diego, CA 92109-4064 | 2020-10-19 |
| 1316576515 | Graziano Therapy, Individual and Marriage Counseling, PC | Clinic/Center | 3333 Camino Del Rio S Ste 215, San Diego, CA 92108-3837 | 2020-04-08 |
| 1720616600 | Center for Reflective Practice | Clinic/Center | 9606 Tierra Grande St Ste 201, San Diego, CA 92126-6501 | 2020-03-27 |
| 1063044410 | Pacific Coast Psychiatric Associates, Inc. | Clinic/Center | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2020-02-04 |
| 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.