Organization Active NPI

Shayke Inc

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1013420744
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190014AP Issued in CA
Legal business name
SHAYKE INC
Practice address
5377 Wilhelmina Ave
Woodland Hills, CA 91367
Phone
(310) 467-8188
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Mike Gerstein
Title
Ceo
Phone
(310) 467-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190014AP CA Primary

Addresses

Primary practice location

5377 Wilhelmina Ave
Woodland Hills, CA 91367

Mailing address

8018 Rudnick Ave
Canoga Park, CA 91304-3814
Phone (800) 467-5953

Other identifiers 1

IdentifierTypeStateIssuer
190014APOtherCASTATE LICENSE

Other names 1

  • Freedom Treatment Centers of California Doing business as

National Provider Directory

National Provider Directory

Locations

5377 Wilhelmina Ave
Woodland Hills, CA 91367
Phone (310) 467-8188

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1013420744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8018 RUDNICK AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043814",
            "telephone_number": "800-467-5953",
            "fax_number": "747-242-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 WILHELMINA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "310-467-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "GERSTEIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-467-8188"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190014AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "190014AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Treatment Centers of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.