NPIMap

Organization Active NPI

Dedicato Treatment Center Inc

Doing business as Dedicato Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
National Provider Identifier
1417313214
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEDICATO TREATMENT CENTER INC
Doing business as
Dedicato Treatment Center
Practice address
133 N Altadena Dr Ste 401
Pasadena, CA 91107-7330
Phone
(626) 921-0113
Fax
(626) 921-0214
NPI assigned
Jan 8, 2016
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Keith Lamont Marshall, PSY.D, M.A.,C.A.T.CVNPI 1760753867
Title
C.E.O./Clinical Director
Phone
(626) 921-0113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

133 N Altadena Dr Ste 401
Pasadena, CA 91107-7330

Mailing address

22 W Carter Ave
Sierra Madre, CA 91024-1219
Phone (626) 921-0113

Other names 1

  • DEDICATO TREATMENT CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedicato Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

133 N Altadena Dr
Ste 401
Pasadena, CA 91107
Phone (626) 921-0113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1417313214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W CARTER AVE",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241219",
            "telephone_number": "626-921-0113",
            "fax_number": "626-921-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 401",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077330",
            "telephone_number": "626-921-0113",
            "fax_number": "626-921-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATO TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "C.E.O./CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-921-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, M.A.,C.A.T.CV"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATO TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.