EXODUS RECOVERY, INC. (NPI# 1801148978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801148978 |
| Entity Type | Organization |
| Organization Name | EXODUS RECOVERY, INC. |
| Other Organization Name | EXODUS WELLNESS AND RECOVERY |
| Practice Address |
550 W Vista Way Suite 109 Vista CA 92083-5732 |
| Mailing Address |
9808 Venice Blvd Suite 700 Culver City CA 90232-2732 |
| Practice Telephone | 7607581150 |
| Practice Fax Number | 7607581808 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3108407023 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | LEEANN SKOROHOD (SR VP OPERATIONS) |
| Authorized Official Telephone | 3109453350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Exodus Wellness and Recovery | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272395 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 204, Vista, CA 92083-5736 | 2019-08-30 |
| 1124596291 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 109, Vista, CA 92083-5707 | 2018-11-07 |
| 1104307164 | Exodus Recovery, Inc. | Community/Behavioral Health | 1000 W Carson St Rm 2022, Bldg 2 South, Torrance, CA 90502-2004 | 2018-08-27 |
| 1740771559 | Exodus Recovery, Inc. | Community/Behavioral Health | 12021 S Wilmington Ave Fl 2, Ic1-ic7, Los Angeles, CA 90059-3019 | 2018-05-29 |
| 1184169815 | Exodus Recovery, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3754-56 Overland Ave, Los Angeles, CA 90034-6312 | 2017-01-04 |
| 1356711436 | Exodus Recovery, Inc. | Community/Behavioral Health | 8513 S Vermont Ave, Los Angeles, CA 90044-3425 | 2015-10-01 |
| 1083943005 | Exodus Recovery, Inc. | Community/Behavioral Health | 4308 30th St, Suite A, San Diego, CA 92104-1314 | 2009-12-22 |
| 1053598979 | Exodus Recovery, Inc. | Community/Behavioral Health | 524 W Vista Way # 55, Vista, CA 92083-5704 | 2008-01-22 |
| 1437704806 | Exodus Recovery, Inc. | Community/Behavioral Health | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2019-08-02 |
| 1235600545 | Exodus Recovery, Inc. | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2018-12-12 |
| Street Address |
550 W VISTA WAY SUITE 109 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467563767 | Lori J Magnusson | Psychologist | 550 W Vista Way, Suite 105, Vista, CA 92083-5732 | 2006-08-31 |
| 1780248609 | Gavin K Madeira | Counselor | 550 W Vista Way, Vista, CA 92083-5732 | 2019-04-25 |
| 1245600204 | Therese Scime | Registered Nurse | 550 W Vista Way, Suite 202, Vista, CA 92083-5732 | 2015-10-03 |
| 1184001950 | Jennifer Osborn | Marriage & Family Therapist | 550 W Vista Way, Suite 407, Vista, CA 92083-5732 | 2015-04-30 |
| 1245639616 | Vista Hospice Care Inc | Hospice Care, Community Based | 550 W Vista Way, Suite 310, Vista, CA 92083-5717 | 2014-08-21 |
| 1144664426 | Christine Taneil Canaday | Marriage & Family Therapist | 550 W Vista Way, Ste 407, Vista, CA 92083-5732 | 2013-04-17 |
| 1588968366 | Kathleen Thompson | Social Worker | 550 W Vista Way, Suite # 206, Vista, CA 92083-5732 | 2011-01-07 |
| 1194040881 | Maria Christina Nielsen | Counselor | 550 W Vista Way, Suite 206, Vista, CA 92083-5732 | 2010-04-06 |
| 1447484837 | Thomas Brett Hoffman | Chiropractor | 550 W Vista Way, Suite 212, Vista, CA 92083-5732 | 2009-05-13 |
| 1003060427 | Eugene Lowery | Chiropractor | 550 W Vista Way, Suite 104, Vista, CA 92083-5732 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| 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 |
|---|---|---|---|---|
| 1871101089 | Union of Pan Asian Communities | Community/Behavioral Health | 400 S Melrose Dr Ste 204, Vista, CA 92081-6632 | 2020-07-14 |
| 1073156626 | Community Research Foundation, Inc. | Community/Behavioral Health | 969 S Santa Fe Ave, Vista, CA 92083-6910 | 2019-10-25 |
| 1184272395 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 204, Vista, CA 92083-5736 | 2019-08-30 |
| 1124596291 | Exodus Recovery, Inc. | Community/Behavioral Health | 550 W Vista Way Ste 109, Vista, CA 92083-5707 | 2018-11-07 |
| 1598243099 | Nikola Ilich | Community/Behavioral Health | 1185 Beverly Dr, Vista, CA 92084-4705 | 2018-08-06 |
| 1528574563 | Leticia Ramirez | Community/Behavioral Health | 440 Delta Ln, Vista, CA 92083-5633 | 2017-12-27 |
| 1912367160 | Laurel Counseling & Consultation Services | Community/Behavioral Health | 138 Civic Center Dr Ste 116, Vista, CA 92084-6041 | 2016-03-01 |
| 1053598979 | Exodus Recovery, Inc. | Community/Behavioral Health | 524 W Vista Way # 55, Vista, CA 92083-5704 | 2008-01-22 |
| 1437379039 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 945 Vale Terrace Dr, Vista, CA 92084-5213 | 2007-04-26 |
| 1821126897 | Mental Health Systems, Inc. | Community/Behavioral Health | 504 W Vista Way, Vista, CA 92083-5704 | 2007-03-01 |
| Find all providers in VISTA | ||||
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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.