Organization Active NPI

Transitions-Mental Health Association

Doing business as ATP 2- Pismo Street House

  • Mental Illness Community Based Residential Treatment Facility
  • San Luis Obispo, CA
National Provider Identifier
1891539821
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRANSITIONS-MENTAL HEALTH ASSOCIATION
Doing business as
ATP 2- Pismo Street House
Practice address
649 Pismo St
San Luis Obispo, CA 93401-3944
Phone
(805) 458-5944
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSITIONS-MENTAL HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Mrs. Jill Bolstor-White
Title
Executive Director
Phone
(805) 540-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

649 Pismo St
San Luis Obispo, CA 93401-3944

Mailing address

784 High St
San Luis Obispo, CA 93401-5243
Phone (805) 540-6500

Other names 1

  • ATP 2- Pismo Street House Doing business as

National Provider Directory

National Provider Directory
Part of
Transitions-Mental Health Association

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1891539821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HIGH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015243",
            "telephone_number": "805-540-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013944",
            "telephone_number": "805-458-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS-MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONS-MENTAL HEALTH ASSOCIATION",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BOLSTOR-WHITE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-540-6505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATP 2- Pismo Street House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.