Del Mar Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEL MAR SUPPORT SERVICES, LLC

Practice address

1523 San Mateo St
Oceanside, CA 92058-1126

Phone

(910) 378-2501

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Rebecca Tagg, PSYD, MSCP, BCBA

Title

Clinical Director

Phone

(910) 378-2501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1093165243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 SAN MATEO ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581126",
            "telephone_number": "910-378-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SAN MATEO ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581126",
            "telephone_number": "910-378-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MAR SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "TAGG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-378-2501",
        "authorized_official_credential": "PSYD, MSCP, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemimah Hannah Espa Degala
• Gina Marie Degeorge, PT
• Amanda Lea Dehart, RN
• Norman Deitch, DC
• Dekro, a Medical Corporation, Inc
• Melanie L Del Rosario, RN,LVN
• Angelito Dela Cruz, DNP
• Isabel Delarosa
• Carl Delgado, LVN
• Vivian Wilma Demaree, RN, BSN,PHN

• Community/Behavioral Health Agency in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.