NPIMap

Organization Active NPI

Center Point Residential Program

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
National Provider Identifier
1639497670
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
210002KN Issued in CA
Legal business name
CENTER POINT RESIDENTIAL PROGRAM
Practice address
207 1St St
San Rafael, CA 94901-3739
Phone
(415) 454-9444
NPI assigned
May 14, 2010
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER POINT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mr. Dennis McCray
Title
Vice President
Phone
(415) 526-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 210002KN CA Primary

Addresses

Primary practice location

207 1St St
San Rafael, CA 94901-3739

Mailing address

207 1St St
San Rafael, CA 94901-3739
Phone (415) 454-9444

National Provider Directory

National Provider Directory
Tax ID family
Center Point Inc19 organizations share this tax ID, including this one
Part of
Center Point Inc

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1639497670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013739",
            "telephone_number": "415-454-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013739",
            "telephone_number": "415-454-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER POINT RESIDENTIAL PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER POINT, INC.",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-526-2941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "210002KN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.