Organization Active NPI

Ca RMH Physician Services, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Malibu, CA
National Provider Identifier
1073994737
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
CA RMH PHYSICIAN SERVICES, PC
Practice address
23823 Malibu Rd # 50-386
Malibu, CA 90265-4628
Phone
(800) 366-8101
Fax
(561) 697-4345
NPI assigned
Jun 17, 2015
Last updated
Sep 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERMENDHELATHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Jean A Dockery
Title
Director of RCM
Phone
(561) 253-4149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

23823 Malibu Rd # 50-386
Malibu, CA 90265-4628

Mailing address

2300 Windy Ridge Pkwy SE Ste 210
Atlanta, GA 30339-5665
Phone (800) 366-8101

National Provider Directory

National Provider Directory

Locations

23823 Malibu Rd
#50386
Malibu, CA 90265
Phone (800) 366-8101

2300 Windy Ridge Pkwy SE
Ste 210
Atlanta, GA 30339
Phone (470) 440-1647

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1073994737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PKWY SE STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395665",
            "telephone_number": "800-366-8101",
            "fax_number": "561-697-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 MALIBU RD # 50-386",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654628",
            "telephone_number": "800-366-8101",
            "fax_number": "561-697-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA RMH PHYSICIAN SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMENDHELATH",
        "enumeration_date": "2015-06-17",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "561-253-4149"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.