NPIMap

Organization Active NPI

Casa de Amparo

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Marcos, CA
National Provider Identifier
1023141231
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CASA DE AMPARO
Doing business as
Casa De Amparo
Practice address
325 Buena Creek Rd
San Marcos, CA 92069-9679
Phone
(760) 754-5510
Fax
(750) 754-5504
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Joan Sutyak, MA
Title
Associate Executive Director
Phone
(760) 566-3578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

325 Buena Creek Rd
San Marcos, CA 92069-9679

Mailing address

325 Buena Creek Rd
San Marcos, CA 92069-9679
Phone (760) 754-5500

Other names 1

  • Casa De Amparo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa de Amparo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1023141231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5500",
            "fax_number": "760-757-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5510",
            "fax_number": "750-754-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMPARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "SUTYAK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-566-3578",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa De Amparo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa De Amparo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.