NPIMap

Organization Active NPI

Environmental Alternatives

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lodi, CA
National Provider Identifier
1295355634
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ENVIRONMENTAL ALTERNATIVES
Practice address
601 Palm Ave
Lodi, CA 95240-0919
Phone
(209) 333-0971
NPI assigned
Apr 24, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ENVIRONMENTAL ALTERNATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Melody King
Title
Executive Director
Phone
(530) 283-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

601 Palm Ave
Lodi, CA 95240-0919

Mailing address

601 Palm Ave
Lodi, CA 95240-0919
Phone (209) 333-0971

Other names 1

  • Environmental Alternatives Losh Other name

National Provider Directory

National Provider Directory
Tax ID family
Environmental Alternatives Susanville24 organizations share this tax ID, including this one
Part of
Environmental Alternatives Susanville

Other organizations with this tax ID 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1295355634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PALM AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952400919",
            "telephone_number": "209-333-0971",
            "fax_number": "530-231-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PALM AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952400919",
            "telephone_number": "209-333-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIRONMENTAL ALTERNATIVES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVIRONMENTAL ALTERNATIVES",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-283-3330"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Environmental Alternatives Losh",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Environmental Alternatives Losh",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.