NPIMap

Organization Active NPI

Womens Recovery Association

  • Substance Abuse Rehabilitation Facility
  • Burlingame, CA
National Provider Identifier
1780972943
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
64718 Issued in CA
Legal business name
WOMENS RECOVERY ASSOCIATION
Practice address
1450 Chapin Ave
Burlingame, CA 94010-4062
Phone
(650) 348-6603
Fax
(650) 348-0615
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Ms. Christine Elizabeth Moon, MFTI
Title
Primary Counselor
Phone
(650) 348-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 64718 CA 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
Tax ID family
Women'S Recovery Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1780972943",
    "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": "650-348-0615"
        },
        {
            "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": "650-348-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS RECOVERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRIMARY COUNSELOR",
        "authorized_official_telephone_number": "650-348-6603",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFTI"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "64718",
            "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 Jul 21, 2011; 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.