Organization Active NPI

Central Coast Trstment Center

  • Community/Behavioral Health Agency
  • Santa Maria, CA
National Provider Identifier
1144605288
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRAL COAST TRSTMENT CENTER
Practice address
201 S Miller St Ste 104
Santa Maria, CA 93454-5248
Phone
(805) 801-1299
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Mr. James Gregg Goodwin I, LMFT
Title
Cfo
Phone
(805) 801-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

201 S Miller St Ste 104
Santa Maria, CA 93454-5248

Mailing address

201 S Miller St Ste 104
Santa Maria, CA 93454-5248
Phone (805) 801-1299

National Provider Directory

National Provider Directory
Tax ID family
Central Coast Treatment Centers2 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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1144605288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MILLER ST STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545248",
            "telephone_number": "805-801-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MILLER ST STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545248",
            "telephone_number": "805-801-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST TRSTMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-801-1299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.