NPIMap

Organization Active NPI

Addiction Therapeutic Services

  • Preferred Provider Organization
  • Barstow, CA
National Provider Identifier
1063045482
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ADDICTION THERAPEUTIC SERVICES
Doing business as
Addiction Therapeutic Services
Practice address
303 E Main St
Barstow, CA 92311-2325
Phone
(760) 957-7479
Fax
(760) 957-7416
NPI assigned
Feb 13, 2020
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
J. HERNDONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Josephine Herndon
Title
Ceo
Phone
(760) 413-2055

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

303 E Main St
Barstow, CA 92311-2325

Mailing address

303 E Main St
Barstow, CA 92311-2325
Phone (760) 957-7479

Other names 1

  • Addiction Therapeutic Services Doing business as

National Provider Directory

National Provider Directory
Part of
Jherndons LLC

Locations

69730 Highway 111
Ste 113
Rancho Mirage, CA 92270
Phone (760) 328-8009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1063045482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112325",
            "telephone_number": "760-957-7479",
            "fax_number": "760-957-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112325",
            "telephone_number": "760-957-7479",
            "fax_number": "760-957-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION THERAPEUTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J. HERNDONS LLC",
        "enumeration_date": "2020-02-13",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-413-2055"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.