Addiction Therapy PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

16694 Issued in CA

Legal business name

ADDICTION THERAPY PC

Doing business as

Addiction Medicine Consulting

Practice address

559 S Palm Canyon Dr Ste 207
Palm Springs, CA 92264-7468

Phone

(951) 852-6284

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By 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

Mr. James Datson Herndon, PA-CNPI 1689924581

Title

President

Phone

(206) 852-8815

Specialties & licenses 1

Addresses

Other names 1

• Addiction Medicine Consulting Doing business as

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.

• James Datson Herndon, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1689924581
  Authorized official Same address or phone

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1265819288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 S PALM CANYON DR STE 207",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647468",
            "telephone_number": "951-852-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 S PALM CANYON DR STE 207",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647468",
            "telephone_number": "951-852-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DATSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-852-8815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "16694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Medicine Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Melvin Adams, M.D.
• Matthew Charles Adams, DO
• Rachel Mackenzie Adams
• Zoila Adams III
• Addiction Medical Services
• Alison Sarah Adler, LMFT, LPCC
• Advanced Sleep Medicine Services, Inc.
• Advanced Women's Healthcare, a Medical Corporation
• Jessica G Afable, M.D
• Dimple Agarwal, M.D.

• Primary Care Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Primary Care Clinic/Center in California

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