San Diego Center for Recreation, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SAN DIEGO CENTER FOR RECREATION, INC.

Practice address

4535 Quantico Ave
San Diego, CA 92117-3831

Phone

(858) 882-7872

NPI assigned

May 8, 2020

Last updated

May 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeannette M Gilmore, LMFTNPI 1528402732

Title

Owner

Phone

(858) 882-7872

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannette Marie Gilmore, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1528402732
  Authorized official Same address or phone

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1376165688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17369",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921777369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 QUANTICO AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173831",
            "telephone_number": "858-882-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5252 Balboa Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176942",
            "country_code": "US",
            "telephone_number": "858-882-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO CENTER FOR RECREATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-882-7872",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "email@jeannettegilmore.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5252 Balboa Ave Ste 304",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921176942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• San Diego Center for Children (Residential Treatment Center)
• San Diego Center for Family Health (Center for Family Health)
• San Diego Center for Oral and Maxillofacial Surgery
• San Diego Center for Recovery LLC (Right Path Recovery)
• San Diego Center for Recovery LLC (Right Path Recovery)
• San Diego Center for Reproductive Surgery
• San Diego Center for the Blind
• San Diego Center of Individual and Family Well-Being Inc.
• San Diego Chiropractic Neurology by Albinder and Jahangiri Apc
• San Diego Choices, Inc (Choices Mental Health Rehabilitation Center)

• Adult Mental Health Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.