Project Amend, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

400007AN Issued in CA

Legal business name

PROJECT AMEND, INC.

Practice address

657 Sweeney LN
San Luis Obispo, CA 93401-6719

Phone

(805) 782-9600

Fax

(805) 782-9602

NPI assigned

Oct 8, 2009

Last updated

Oct 8, 2009By 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. Michael Axelrod, CADCII, ICADC, CCPS

Title

Executive Director

Phone

(805) 782-9600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1336474386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SWEENEY LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016719",
            "telephone_number": "805-782-9600",
            "fax_number": "805-782-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 SWEENEY LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016719",
            "telephone_number": "805-782-9600",
            "fax_number": "805-782-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT AMEND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-782-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADCII, ICADC, CCPS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "400007AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS",
            "identifier": "400007AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Anthony Press, M.D.
• Robert H Price, M.D.
• Primary Care Partners - Slo, P.C.
• Primary Eyecare Center, an Optometric Practice
• Erica Christine Primeau
• Frank Proud III
• Athena Pruett
• Jason Matthew Przybysz
• Marika Psoter
• Psychology Offices of Azfar & Turner, Inc. (Integrative Awareness)

• Substance Abuse Rehabilitation Facility in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.