The Palavra Tree, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

370102BN Issued in CA

Legal business name

THE PALAVRA TREE, INC

Practice address

2878 Imperial Ave
San Diego, CA 92102-4026

Phone

(619) 238-7393

Fax

(619) 696-0492

NPI assigned

Jun 10, 2011

Last updated

Jun 10, 2011By 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

Ms. Denise R Reed, B.S.NPI 1811324973

Title

Executive Director

Phone

(619) 263-7768

Specialties & licenses 3

Addresses

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.

• The Palavra Tree, Inc

  • Case Management Agency
  • San Diego, CA
  • NPI 1558656173
  NPD tax ID
• The Palavra Tree, Inc.

  • Case Management Agency
  • San Diego, CA
  • NPI 1841316379
  NPD tax ID

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.

• Denise Reed, BS

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
  • NPI 1811324973
  Authorized official Same address or phone

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1568757185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024026",
            "telephone_number": "619-263-7768",
            "fax_number": "619-262-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024026",
            "telephone_number": "619-238-7393",
            "fax_number": "619-696-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALAVRA TREE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "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": "370102BN",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.