Organization Active NPI

Anxiety Gaming Inc

  • Community/Behavioral Health Agency
  • Lakewood, CA
National Provider Identifier
1003315839
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANXIETY GAMING INC
Practice address
5150 Candlewood Street
6E
Lakewood, CA 90712-1925
Phone
(562) 303-3694
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Jason Docton
Title
Ceo
Phone
(562) 732-7785

Specialties & licenses 1

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

Addresses

Primary practice location

5150 Candlewood Street
6E
Lakewood, CA 90712-1925

Mailing address

5150 Candlewood Street
6E
Lakewood, CA 90712-1925
Phone (562) 303-3694

Other names 1

  • Rise Above The Disorder Doing business as

National Provider Directory

National Provider Directory

Locations

5150 Candlewood St
Ste 6E
Lakewood, CA 90712
Phone (562) 303-3694

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1003315839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD STREET",
            "address_2": "6E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-303-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD STREET",
            "address_2": "6E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-303-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY GAMING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "DOCTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-732-7785"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Above The Disorder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.