Addiction Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ADDICTION RECOVERY CENTER

Practice address

3880 S. Bascom Ave #206
San Jose, CA 95124

Phone

(408) 907-3176

Fax

(408) 371-9193

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Anne Fifield, DMFT, LMFT, CAS, CSANPI 1508012097

Title

Ex Director

Phone

(408) 486-0110

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Anne Fifield, DMFT

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1508012097
  Authorized official Same address or phone

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1164835914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S. BASCOM AVE #206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-907-3176",
            "fax_number": "408-371-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S. BASCOM AVE #206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-907-3176",
            "fax_number": "408-371-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "FIFIELD",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "EX DIRECTOR",
        "authorized_official_telephone_number": "408-486-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMFT, CAS, CSA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nohra Rebecca Adams, P.A., MPH
• Stacey Lynn Adams, D.C.
• Lisa Adamski
• Julia Addams, MD
• Brittany Addeo
• Elisa Addison, MFT
• Isaiah Addison
• Kyle Addison
• Fareeda N Adeeb, M.D
• Nelson Kola Adeloye

• Community/Behavioral Health Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.