NPIMap

Organization Active NPI

Genesis Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Dulzura, CA
National Provider Identifier
1831585561
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370139AN Issued in CA
Legal business name
GENESIS RECOVERY, INC.
Practice address
18985 Highway 94
Dulzura, CA 91917-1527
Phone
(858) 204-7285
NPI assigned
Apr 9, 2015
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Julie Hayden, PSYD
Title
Executive Director
Phone
(858) 204-7285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 370139AN CA Primary

Addresses

Primary practice location

18985 Highway 94
Dulzura, CA 91917-1527

Mailing address

8030 La Mesa Blvd # 525
La Mesa, CA 91942-0335
Phone (858) 204-7285

Other names 1

  • Genesis Recovery San Diego Other name

National Provider Directory

National Provider Directory
Tax ID family
Genesis Recovery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8030 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 567-6839

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1831585561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 LA MESA BLVD # 525",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420335",
            "telephone_number": "858-204-7285",
            "fax_number": "619-367-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18985 HIGHWAY 94",
            "city": "DULZURA",
            "state": "CA",
            "postal_code": "919171527",
            "telephone_number": "858-204-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-204-7285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370139AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Recovery San Diego",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Genesis Recovery San Diego",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dulzura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.