NPIMap

Organization Active NPI

CRC Ed Treatment, LLC

  • Psychiatric Residential Treatment Facility
  • Carlsbad, CA
National Provider Identifier
1255495677
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
550000199 Issued in CA
Legal business name
CRC ED TREATMENT, LLC
Practice address
2556 La Costa Avenue
Carlsbad, CA 92009
Phone
(760) 436-2657
Fax
(760) 436-2022
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Brian P Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 550000199 CA Primary

Addresses

Primary practice location

2556 La Costa Avenue
Carlsbad, CA 92009

Mailing address

2556 La Costa Avenue
Carlsbad, CA 92009
Phone (760) 436-2657

Other names 1

  • Montecatini Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRC Ed Treatment LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1255495677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 LA COSTA AVENUE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-436-2657",
            "fax_number": "760-436-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 LA COSTA AVENUE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-436-2657",
            "fax_number": "760-436-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC ED TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "550000199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montecatini",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montecatini",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.