DSH-Atascadero

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

G34082 Issued in CA

Legal business name

DSH-ATASCADERO

Practice address

10333 El Camino Real
Atascadero, CA 93422-5808

Phone

(805) 468-2000

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Fennell, MD

Title

Medical Director

Phone

(805) 468-2005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407228299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 COLIMA RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222510",
            "telephone_number": "805-461-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225808",
            "telephone_number": "805-468-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSH-ATASCADERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-468-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "G34082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G34082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Marie Dorazio, PHD
• Courtney Dowd
• Jennifer Ann Drown, AMFT114345
• DRS. Chalker and Peterson, a Dental Partnership
• Drug and Alcohol Services
• William Duan, MD
• Dori Dueck, LMT
• Lindsay Duhn
• Yvette Duncan, LPT
• Jamie Noelle Dunn, LMFT

• Psychiatric Hospital in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.