Advanced Trauma Recovery LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ADVANCED TRAUMA RECOVERY LLC

Practice address

755 Maleta LN Ste 202
Castle Rock, CO 80108-7611

Phone

(949) 233-5358

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By 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

Mercedes Lavoy

Title

Clinical Psychologist

Phone

(949) 233-5358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1285190751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MALETA LN STE 202",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087611",
            "telephone_number": "949-233-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MALETA LN STE 202",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087611",
            "telephone_number": "949-233-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TRAUMA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "LAVOY",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-233-5358"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.