Student Sports Association Sacramento

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

STUDENT SPORTS ASSOCIATION SACRAMENTO

Doing business as

SSA and Communities

Practice address

8126 Belvedere Ave
Sacramento, CA 95826

Phone

(916) 870-0458

NPI assigned

Jan 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian Mitchell

Title

Executive Director

Phone

(916) 698-8687

Specialties & licenses 1

Addresses

Other names 1

• SSA and Communities Doing business as

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1073844429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8126 BELVEDERE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95826",
            "telephone_number": "916-870-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8126 BELVEDERE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95826",
            "telephone_number": "916-870-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT SPORTS ASSOCIATION SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-698-8687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSA and Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Vern Stubbs, DDS
• Kathleen Stucker
• Grace Hayes Stuckey, LCSW
• Karen Ann Stuckey, C14481214
• Nathan Stuckey
• Studio a SLP, Inc
• Studley Chiropractic Inc. (Active Life Chiropractic Center)
• Chip Christopher Studley, D.C.
• Merrett A Stufflebeem, LMFT
• Annica Stull-Lane

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.