Beacon House

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BEACON HOUSE

Practice address

667 Lighthouse Ave Ste 201
Pacific Grove, CA 93950-2666

Phone

(866) 421-6156

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BEACON HOUSEAs reported in NPPES

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

Authorized official

Name

Nicholas Lamonica

Title

Contract Specialist

Phone

(312) 663-1130

Specialties & licenses 1

Addresses

Tax ID family

Beacon House2 organizations share this tax ID, including this one

Part of

Beacon House

Other organizations with this tax ID 1

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

• Beacon House

  • Substance Abuse Rehabilitation Facility
  • Pacific Grove, CA
  • NPI 1033274485
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beacon House

  • Substance Abuse Rehabilitation Facility
  • Pacific Grove, CA
  • NPI 1033274485
  NPPES parent name

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1124675988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E JACKSON BLVD STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LIGHTHOUSE AVE STE 201",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502666",
            "telephone_number": "866-421-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON HOUSE",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "LAMONICA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "312-663-1130"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan S Azevedo, ACSW
• Stephanie R Bacheller, LMFT
• Susan M Bajari, MA PSYCHOLOGY
• Sandy Baril, B.SC.PT
• Beacon House
• Kenneth Bear, PHARMACIST
• Marie Regine Balaba Bello, PHARMD
• Karianne Beltran, MA
• Eugene Benjamin, MD
• Deborah Gail Bille, PHARMD

• Substance Use Disorder Rehabilitation Clinic/Center in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.