Organization Active NPI

Hillsdale Treatment Center LLC

  • Adult Mental Health Clinic/Center
  • Oceanside, CA
National Provider Identifier
1336910397
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HILLSDALE TREATMENT CENTER LLC
Practice address
2215 Mesa Dr
Oceanside, CA 92054-3707
Phone
(949) 635-4437
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Eric Niccole
Title
Member
Phone
(949) 279-1165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2215 Mesa Dr
Oceanside, CA 92054-3707

Mailing address

220 Newport Center Dr # 11-583
Newport Beach, CA 92660-7506
Phone (949) 635-4437

National Provider Directory

National Provider Directory
Tax ID family
Hillsdale Treatment Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1336910397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR # 11-583",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607506",
            "telephone_number": "949-635-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 MESA DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543707",
            "telephone_number": "949-635-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "NICCOLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "949-279-1165"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

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