Active NPI
Generatehope
- Mental Illness Community Based Residential Treatment Facility
- Bonita, CA
National Provider Identifier
1669854683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- GENERATEHOPE
- Practice address
- 3419 Evergreen Rd
Bonita, CA 91902-1407 - Phone
- (619) 818-4026
- Fax
- (619) 342-7508
- NPI assigned
- Jun 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Patricia Munsey, LCSW
- Title
- Executive Director
- Phone
- (619) 818-4026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
3419 Evergreen Rd
Bonita, CA 91902-1407
Mailing address
4025 Camino del Rio S
Suite 300
San Diego, CA 92108-4107
Phone (619) 818-4026
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1669854683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 CAMINO DEL RIO S",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084107",
"telephone_number": "619-818-4026",
"fax_number": "619-342-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 EVERGREEN RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919021407",
"telephone_number": "619-818-4026",
"fax_number": "619-342-7508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATEHOPE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "MUNSEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "619-818-4026",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.