NPIMap

Organization Active NPI

Community Research Foundation Inc

Doing business as Halcyon Center

  • Community/Behavioral Health Agency
  • El Cajon, CA
National Provider Identifier
1831212398
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8528 Issued in CA
Legal business name
COMMUNITY RESEARCH FOUNDATION INC
Doing business as
Halcyon Center
Practice address
1664 Broadway
El Cajon, CA 92021-5201
Phone
(619) 579-8685
Fax
(619) 579-1969
NPI assigned
Apr 9, 2007
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Mr. Bob Marchetti
Title
Cfo
Phone
(619) 275-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8528 CA Primary

Addresses

Primary practice location

1664 Broadway
El Cajon, CA 92021-5201

Mailing address

1664 Broadway
El Cajon, CA 92021-5201
Phone (619) 579-8685

Other identifiers 1

IdentifierTypeStateIssuer
8528MedicaidCA

Other names 1

  • Halcyon Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Research FDTN41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1831212398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215201",
            "telephone_number": "619-579-8685",
            "fax_number": "619-579-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215201",
            "telephone_number": "619-579-8685",
            "fax_number": "619-579-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-275-0822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "8528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halcyon Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.