NPIMap

Organization Active NPI

Agoura Neurofeedback

Doing business as Awakenings Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Agoura Hills, CA
National Provider Identifier
1083238968
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AGOURA NEUROFEEDBACK
Doing business as
Awakenings Treatment Center
Practice address
5490 Fairview PL
Agoura Hills, CA 91301-2224
Phone
(310) 848-5418
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Jonathan Austin
Title
Consultant
Phone
(213) 973-2906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5490 Fairview PL
Agoura Hills, CA 91301-2224

Mailing address

28720 Roadside Dr Ste 200
Agoura Hills, CA 91301-4576
Phone (310) 848-5418

Other names 1

  • Awakenings Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agoura Neurofeedback2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1083238968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014576",
            "telephone_number": "310-848-5418",
            "fax_number": "855-717-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 FAIRVIEW PL",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012224",
            "telephone_number": "310-848-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA NEUROFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "213-973-2906"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakenings Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.