NPIMap

Organization Active NPI

Reach Project

  • Addiction (Substance Use Disorder) Counselor
  • Oakley, CA
National Provider Identifier
1144583667
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
070753 Issued in CA
Legal business name
REACH PROJECT
Practice address
3385 Main St
Suite B
Oakley, CA 94561-6017
Phone
(925) 679-2504
Fax
(925) 754-2002
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mr. Mickie Angelo Marchetti, MA, RAS
Title
Executive Director
Phone
(925) 779-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 070753 CA Primary

Addresses

Primary practice location

3385 Main St
Suite B
Oakley, CA 94561-6017

Mailing address

3385 Main St
Suite B
Oakley, CA 94561-6017
Phone (925) 679-2504

National Provider Directory

National Provider Directory
Tax ID family
Reach Project6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3385 W Main St
Ste B
Oakley, CA 94561
Phone (312) 316-0288

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1144583667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 MAIN ST",
            "address_2": "SUITE B",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945616017",
            "telephone_number": "925-679-2504",
            "fax_number": "925-754-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 MAIN ST",
            "address_2": "SUITE B",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945616017",
            "telephone_number": "925-679-2504",
            "fax_number": "925-754-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "MICKIE",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-779-6908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, RAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "070753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.