Wavelengths Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300323AP Issued in CA

Legal business name

WAVELENGTHS RECOVERY, INC.

Practice address

703 California St
Huntington Beach, CA 92648-4715

Phone

(714) 312-1011

Fax

(949) 629-6833

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Warren Boyd

Title

Ceo

Phone

(714) 642-2404

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Suzanne Newlin Stewart, LMFT, LAADC-CA

  • Marriage & Family Therapist
  • Huntington Beach, CA
  • NPI 1588920425
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1376923151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CALIFORNIA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484715",
            "telephone_number": "714-312-1011",
            "fax_number": "949-629-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CALIFORNIA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484715",
            "telephone_number": "714-312-1011",
            "fax_number": "949-629-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVELENGTHS RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-642-2404"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300323AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "300323AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David B Watson, PH.D.
• Rachel Wynne Watson, M.D.
• Wave Chiropractic
• Wave Imaging, LLC
• Wave Imaging, LLC
• Ann Wayman, L.M.T.
• Rosalie Lu Weber, PHARM.D.
• Stephanie Marie Weber
• Lisa Evette Webster
• Cheryl Weepie

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 Dec 12, 2023; 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.