Active NPI
Shayke Inc
- Substance Abuse Rehabilitation Facility
- Woodland Hills, CA
National Provider Identifier
1013420744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190014AP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190014AP | Other | CA | STATE LICENSE |
Other names 1
- Freedom Treatment Centers of California
National Provider Directory
National Provider DirectoryLocations
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.