Organization Active NPI

Eqgenix Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Newark, DE
National Provider Identifier
1205620739
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
EQGENIX INC
Practice address
254 Chapman Rd Ste 209
Newark, DE 19702-5422
Phone
(888) 824-7244
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Yvonne Hall
Title
Ceo
Phone
(949) 374-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

254 Chapman Rd Ste 209
Newark, DE 19702-5422

Mailing address

29634 Bonanza PL
Canyon Lake, CA 92587-7923
Phone (949) 374-9522

National Provider Directory

National Provider Directory

Locations

254 Chapman Rd
Ste 209
Newark, DE 19702
Phone (888) 824-7244

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1205620739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29634 BONANZA PL",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877923",
            "telephone_number": "949-374-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CHAPMAN RD STE 209",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025422",
            "telephone_number": "888-824-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQGENIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-374-9522"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.