NPIMap

Organization Active NPI

The Palavra Tree, Inc

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1558656173
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
370102CN Issued in CA
Legal business name
THE PALAVRA TREE, INC
Practice address
4001 El Cajon Blvd
#206 & 207
San Diego, CA 92105-1109
Phone
(619) 280-2300
Fax
(619) 280-2345
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Ms. Denise R Reed, B.S.
Title
Executive Director
Phone
(619) 263-7768

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 370102CN CA Primary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

4001 El Cajon Blvd
#206 & 207
San Diego, CA 92105-1109

Mailing address

4001 El Cajon Blvd
#206 & 207
San Diego, CA 92105-1109
Phone (619) 280-2300

National Provider Directory

National Provider Directory
Tax ID family
The Palavra Tree Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 El Cajon Blvd
Ste 206
San Diego, CA 92105
Phone (619) 280-2300

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1558656173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 EL CAJON BLVD",
            "address_2": "#206 & 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051109",
            "telephone_number": "619-280-2300",
            "fax_number": "619-280-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 EL CAJON BLVD",
            "address_2": "#206 & 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051109",
            "telephone_number": "619-280-2300",
            "fax_number": "619-280-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALAVRA TREE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-263-7768",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "370102CN",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.