Present Moments Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

370148AP Issued in CA

Legal business name

PRESENT MOMENTS RECOVERY

Practice address

1809 Windriver St
San Marcos, CA 92078-1094

Phone

(619) 363-4767

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark Gladden

Title

Owner, Ceo

Phone

(619) 363-4767

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PMR Iop LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carlsbad, CA
  • NPI 1790288116
  NPPES parent name

Practitioners 2

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

• Kathryn Papier Hirst, M.D.

  • Psychiatry Physician
  • Encinitas, CA
  • NPI 1053452664
  NPD (past)
• Venice Lopez Sanchez, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1609004837
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1285013672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 WINDRIVER ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781094",
            "telephone_number": "619-363-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 WINDRIVER ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781094",
            "telephone_number": "619-363-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENT MOMENTS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "619-363-4767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370148AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dushawn A Powell
• Madison N Pradels, ATC
• Brittany Pratt, LMT
• Precision Physical Therapy
• Premier Healthcare Services, LLC
• Tory Prestera, MD.PHD
• Amy M Price, MFT
• Primary Care Associates Medical Group Inc
• Prime Interpreting, LLC.
• Brandalyn Ann Prior

• Substance Abuse Rehabilitation Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.