Organization Active NPI

Acclimation, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Stockton, CA
National Provider Identifier
1386866085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
390013AN Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
393997MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.