Organization Active NPI

Chemical Dependency Treatment Associates, Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1245767516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
2012239 Issued in CA
Legal business name
CHEMICAL DEPENDENCY TREATMENT ASSOCIATES, INC
Practice address
455 University Ave Ste 320
Sacramento, CA 95825-6580
Phone
(916) 333-5955
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Angella Barr, MDNPI 1457588964
Title
President
Phone
(917) 301-5917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X 2012239 CA Primary

Addresses

Primary practice location

455 University Ave Ste 320
Sacramento, CA 95825-6580

Mailing address

455 University Ave Ste 320
Sacramento, CA 95825-6580
Phone (916) 333-5955

Other identifiers 2

IdentifierTypeStateIssuer
1457588964OtherCANPPES
1912935123OtherCANPPES

Other names 1

  • Michael Parr MD Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

455 University Ave
Ste 320
Sacramento, CA 95825
Phone (916) 333-5955

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": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245767516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 UNIVERSITY AVE STE 320",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256580",
            "telephone_number": "916-333-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 UNIVERSITY AVE STE 320",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256580",
            "telephone_number": "916-333-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL DEPENDENCY TREATMENT ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-301-5917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "2012239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1457588964",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1912935123",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Parr MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.