Casa de Amparo

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

36846 Issued in CA

Legal business name

CASA DE AMPARO

Practice address

325 Buena Creek Rd
San Marcos, CA 92069-9679

Phone

(760) 754-5510

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Tamara Fleck-Myers

Title

Executive Director

Phone

(760) 566-3555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1609275676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14934 BUDWIN LN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMPARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "FLECK-MYERS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-566-3555"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "36846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Devonne Carroll, PMHNP-BC
• Lexxus Carter
• Casa de Amparo
• Casa de Amparo
• Casa de Amparo
• Grace Casey
• Diana Kiralyfalvi Casillas, AUD.
• Summer Casson, PHARM D
• Mariela Castellano-Arredondo
• Kenya Castellanos, LM, CPM

• Emotionally Disturbed Childrens' Residential Treatment Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.