Drew Edmund Psychiatric Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DREW EDMUND PSYCHIATRIC CENTER

Practice address

2035 Alta Vista Dr
Vista, CA 92084-7017

Phone

(760) 917-1112

Fax

(619) 924-9931

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Judith K MossNPI 1417239864

Title

Ceo/Owner

Phone

(760) 917-1112

Specialties & licenses 2

Addresses

Other names 1

• AffinityTreatment Centers Inc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith K Moss

  • Mental Illness Community Based Residential Treatment Facility
  • Vista, CA
  • NPI 1417239864

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past) Authorized official

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1225440613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 ALTA VISTA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847017",
            "telephone_number": "760-917-1112",
            "fax_number": "619-924-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 ALTA VISTA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847017",
            "telephone_number": "760-917-1112",
            "fax_number": "619-924-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW EDMUND PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "760-917-1112"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "374601463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AffinityTreatment Centers Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jose A Drago, DDS
• Ruth I Drago, DDS
• Lynne Eldon Drake, PHARM.D.
• Destiny Suzanne Drehs, RAD-T
• Kathleen Marie Drennan, BSN, MSN, APRN-C
• Sarndra Gaye Dries, LVN
• Linda Kay Droker, LMT
• Lisa Diaz Du
• Grace Marie Dubick
• Kaitlyn Duckworth, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Vista, CA
• Providers in Vista, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.