NPIMap

Organization Active NPI

Dedicato Treatment Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Pasadena, CA
National Provider Identifier
1013415215
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DEDICATO TREATMENT CENTER INC
Practice address
133 N Altadena Dr Ste 401
Pasadena, CA 91107-7330
Phone
(626) 921-0113
Fax
(626) 921-0214
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Dr. Keith Lamont Marshall, PSYD, MA, C.A.T.CV
Title
Ceo
Phone
(626) 921-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

133 N Altadena Dr Ste 401
Pasadena, CA 91107-7330

Mailing address

133 N Altadena Dr Ste 401
Pasadena, CA 91107-7330
Phone (626) 921-0113

Other names 1

  • Dedicato Treatment Center Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedicato Treatment Center2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1013415215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 401",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077330",
            "telephone_number": "626-921-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 401",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077330",
            "telephone_number": "626-921-0113",
            "fax_number": "626-921-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATO TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DR. KEITH",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-921-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MA, C.A.T.CV"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicato Treatment Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.