Active NPI
Lodgequest
- Community/Behavioral Health Agency
- Hesperia, CA
National Provider Identifier
1659579738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 06-08508
- Legal business name
- LODGEQUEST
- Practice address
- 16955 Lemon St
Hesperia, CA 92345-5139 - Phone
- (760) 947-8223
- Fax
- (760) 947-8225
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 10, 2007
- Organization subpart
- Yes
- Parent organization
- VISIONQUEST NATIONAL LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beth Ann Rosica, PH.D.
- Title
- Vice President - Service Delivery
- Phone
- (610) 486-2280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 06-08508 | CA | Primary |
Addresses
Primary practice location
16955 Lemon St
Hesperia, CA 92345-5139
Mailing address
352 Marshallton Thorndale Rd
Downingtown, PA 19335-2063
Phone (610) 486-2280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-74049-000 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Visionquest National LTD
Locations
16955 Lemon St
Hesperia, CA 92345
Phone (760) 947-8223
352 Marshallton Thorndale Rd
Downingtown, PA 19335
Phone (610) 486-2280
Practitioners & affiliated clinicians
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.
-
- Clinical Psychologist
- Hesperia, CA
- NPI 1053506147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1659579738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 MARSHALLTON THORNDALE RD",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352063",
"telephone_number": "610-486-2280",
"fax_number": "610-384-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16955 LEMON ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923455139",
"telephone_number": "760-947-8223",
"fax_number": "760-947-8225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LODGEQUEST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISIONQUEST NATIONAL LTD",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "ROSICA",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VICE PRESIDENT - SERVICE DELIVERY",
"authorized_official_telephone_number": "610-486-2280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "06-08508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04-74049-000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.