Active NPI
Acclimation, Inc.
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
National Provider Identifier
1386866085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 390013AN
- Legal business name
- ACCLIMATION, INC.
- Practice address
- 1135 N Hunter St
Stockton, CA 95202-1407 - Phone
- (209) 942-3600
- Fax
- (209) 942-3684
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willard Holman
- Title
- Director
- Phone
- (209) 942-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 390013AN | CA | Primary |
Addresses
Primary practice location
1135 N Hunter St
Stockton, CA 95202-1407
Mailing address
1135 N Hunter St
Stockton, CA 95202-1407
Phone (209) 942-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393997 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1135 N Hunter St
Stockton, CA 95202
Phone (209) 942-3600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
- NPI 1629280789
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
- NPI 1013129170
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386866085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N HUNTER ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021407",
"telephone_number": "209-942-3600",
"fax_number": "209-942-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N HUNTER ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021407",
"telephone_number": "209-942-3600",
"fax_number": "209-942-3684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCLIMATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "WILLARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "209-942-3600"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "390013AN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393997",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.