Organization Active NPI

Women'S Recovery Association

  • Substance Abuse Rehabilitation Facility
  • Burlingame, CA
National Provider Identifier
1619229713
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WOMEN'S RECOVERY ASSOCIATION
Practice address
1450 Chapin Ave
Burlingame, CA 94010-4062
Phone
(650) 348-6603
Fax
(650) 348-0625
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ms. Laurie J. Wetzel
Title
Ceo/Executive
Phone
(650) 348-6603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1450 Chapin Ave
Burlingame, CA 94010-4062

Mailing address

1450 Chapin Ave
Burlingame, CA 94010-4062
Phone (650) 348-6603

National Provider Directory

National Provider Directory

Locations

1450 Chapin Ave
Burlingame, CA 94010

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1619229713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S RECOVERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE",
        "authorized_official_telephone_number": "650-348-6603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.