Addiction and Intervention Professionals, LLC.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ADDICTION AND INTERVENTION PROFESSIONALS, LLC.

Practice address

352 Paseo Reyes Dr
St Augustine, FL 32095-8464

Phone

(904) 808-8373

Fax

(904) 808-8390

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Brian William Jackson, DR. AD, CAP

Title

Executive Director

Phone

(904) 808-8373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1023326014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-808-8373",
            "fax_number": "904-808-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-808-8373",
            "fax_number": "904-808-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION AND INTERVENTION PROFESSIONALS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-808-8373",
        "authorized_official_credential": "DR. AD, CAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Carole Adams, ARNP
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• Rebekah Adams
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• William Adams, LMHC
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• Kimburlie Anne Adkins, ARNP
• Michael G Adkison, M.D.
• Javier Francisco Aduen, M.D.
• Advanced Endovascular Institute

• All providers in St Augustine, FL
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.