The Constellation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE CONSTELLATION

Practice address

11201 Constellation Dr
El Cajon, CA 92020-8200

Phone

(619) 847-5174

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lavonne Marcell Casillas, CAADE, CSC

Title

Executive Director

Phone

(619) 847-5174

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Lynn Hernandez, SUD COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • El Cajon, CA
  • NPI 1083903736
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1902319445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALTURAS RD APT 1E",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283127",
            "telephone_number": "619-847-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 CONSTELLATION DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920208200",
            "telephone_number": "619-847-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONSTELLATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_middle_name": "MARCELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-847-5174",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAADE, CSC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret R Tess, PH.D.
• Steven Reinhold Tess, PH.D.
• Queen Lucky Thach, O.D.
• Maria Ann Tharakan, RN
• Tharon San Diego LLC
• The Future Pharmacy Inc.
• The Future Pharmacy Inc.
• The Prosthetics and Orthotics Corporation
• The Therapy Innovation
• Therapeutic Behavioral Services

• Substance Abuse Rehabilitation Facility in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.