Detoxery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DETOXERY

Practice address

3147 E Sierra Madre Blvd
Pasadena, CA 91107-2037

Phone

(626) 437-0500

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Shant Agadjanian

Title

Cfo

Phone

(626) 437-0500

Specialties & licenses 1

Addresses

Other names 1

• Detoxery Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1376339630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072037",
            "telephone_number": "626-437-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072037",
            "telephone_number": "626-437-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETOXERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "AGADJANIAN",
        "authorized_official_first_name": "SHANT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-437-0500"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detoxery Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Desilets
• Gabriella Desoto
• Tana Joy Desouza, M.A. LMFT
• Jessica Ticas Desta, LCSW
• Theresa G. Destito, LCSW
• Mary Edith Devan, LCSW
• Aimee R Deveney
• Lacey M Devenney, LMSW
• Jeanne Valentina Devi, DDS
• Greggory Russell Devore, M.D.

• Substance Abuse Rehabilitation Facility in Pasadena, CA
• Providers in Pasadena, 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 Sep 4, 2026; 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.