American Addiction Treatment Services Inc
Organization Active NPI Methadone Clinic · Marysville, CA
NPI 1275804205 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1275804205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- AMERICAN ADDICTION TREATMENT SERVICES INC
- Practice address
- 1496 Beale Rd
Marysville, CA 95901-6205 - Phone
- (530) 749-8640
- Fax
- (530) 749-8646
- NPI assigned
- Jan 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Pramesh P Sharma
- Title
- Administrative Director
- Phone
- (661) 254-6630
Practitioners 51
-
Arnold Lydell Booth, COUNSELOR
-
Maria De Los Angeles Flores, AOD COUNSELOR
-
Danielle Irene Gogerty, RACT
-
Amy Gutierrez, LPT
-
Araceli Guzman, SUDRC
-
Patricia Ann Lanegan, CADC
-
Luz Obezo, LVN
-
Leif Rasmussen, MD
-
Rhiannon P Turner, RACT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Opioid treatment program
- Medicare-enrolled since Jan 24, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200323003263 | CA | Part B Supplier - Opioid Treatment Program (Otp) | 8820426943 | Practice locations: Marysville, CA |
National Provider Directory
Locations
1496 N Beale Rd
Marysville, CA 95901
Phone (530) 749-8640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1496 Beale Rd
Marysville, CA 95901-6205
Mailing address
26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51-04 | Other | CA | STATE LICENSE NTP |
Other names
- ADDICTION TREATMENT SERVICES INC
Other providers in Marysville, CA
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- Hyo Sook Catherine Allen
- Megan Allen
- Nikcota Alston
- Colette Millie Altomar
- Tyler James Amos
- Ampla Health
- Ampla Health
- Cheryl Ann Andersen
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All providers in Marysville, CA · Methadone Clinic in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.