CRC Health Group

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

505812 Issued in CA

Legal business name

CRC HEALTH GROUP

Practice address

7020 Friars Rd
San Diego, CA 92108-1126

Phone

(161) 971-8989

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Merry Menden, APRN BC-FNP MSN

Title

Nurse Practitioner

Phone

(619) 718-9890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1194938332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126",
            "telephone_number": "161-971-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MENDEN",
        "authorized_official_first_name": "MERRY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "16197189890",
        "authorized_official_credential": "APRN BC-FNP MSN"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "505812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Phyllis Crawshaw, PSY.D.
• Amy Lauren Cray, PNP
• Jerome Crayton-Sherman II
• CRC Health
• CRC Health
• CRC Health Group
• CRC Health Group, Inc
• CRC Home Avenue Clinic
• Alexis Crea
• Christina Creamer

• Addiction (Substance Use Disorder) Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.