NPIMap

Organization Active NPI

Cast Recovery Services of Santa Monica, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Santa Monica, CA
National Provider Identifier
1093156879
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CAST RECOVERY SERVICES OF SANTA MONICA, INC
Practice address
530 Wilshire Blvd
Suite 105
Santa Monica, CA 90401-1421
Phone
(310) 873-3935
Fax
(310) 564-1883
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Mr. Michael Gardiner Bayer, CADC II, BRI II
Title
Ceo
Phone
(310) 873-3935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

530 Wilshire Blvd
Suite 105
Santa Monica, CA 90401-1421

Mailing address

530 Wilshire Blvd
Suite 105
Santa Monica, CA 90401-1421
Phone (310) 873-3935

National Provider Directory

National Provider Directory
Tax ID family
Cast Recovery Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

530 Wilshire Blvd
Ste 105
Santa Monica, CA 90401
Phone (310) 873-3935

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1093156879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD",
            "address_2": "SUITE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011421",
            "telephone_number": "310-873-3935",
            "fax_number": "310-564-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD",
            "address_2": "SUITE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011421",
            "telephone_number": "310-873-3935",
            "fax_number": "310-564-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAST RECOVERY SERVICES OF SANTA MONICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GARDINER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-873-3935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II, BRI II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.