NPIMap

Organization Active NPI

Milestone House

  • Adolescent and Children Mental Health Clinic/Center
  • Oceanside, CA
National Provider Identifier
1568094084
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MILESTONE HOUSE
Practice address
1816 Portofino Dr
Oceanside, CA 92054-6130
Phone
(760) 433-6361
Fax
(760) 439-7402
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Beverly BooneNPI 1063009884
Title
Executive Director
Phone
(760) 433-6361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

1816 Portofino Dr
Oceanside, CA 92054-6130

Mailing address

1816 Portofino Dr
Oceanside, CA 92054-6130
Phone (760) 433-6361

Other names 1

  • Milestone House Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1568094084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 PORTOFINO DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546130",
            "telephone_number": "760-433-6361",
            "fax_number": "760-439-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 PORTOFINO DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546130",
            "telephone_number": "760-433-6361",
            "fax_number": "760-439-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-433-6361"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Milestone House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.