Community Transition Academy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY TRANSITION ACADEMY

Practice address

625 Pennsylvania Ave
San Diego, CA 92103-4321

Phone

(858) 603-4812

Fax

(619) 432-0048

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Tina Waters

Title

Executive Director

Phone

(858) 603-4812

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1366940397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720072",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921720072",
            "telephone_number": "858-603-4812",
            "fax_number": "619-432-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PENNSYLVANIA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034321",
            "telephone_number": "858-603-4812",
            "fax_number": "619-432-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TRANSITION ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-603-4812"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Research Foundation Inc
• Community Research Foundation Inc
• Community Research Foundation, Inc.
• Community Reserach Foundation
• Community Reunification Project
• Community Wellbeing San Diego
• Community Wellness America
• Community Wellness America, Inc
• Mariana D Compagnone, M.D.
• Compass Dermatopathology, Inc.

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.