Organization Active NPI

Martins' Achievement Place, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Citrus Heights, CA
National Provider Identifier
1487778312
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MARTINS' ACHIEVEMENT PLACE, INC.
Practice address
7806 Uplands Way, Suite C
Citrus Heights, CA 95610
Phone
(916) 967-6253
Fax
(916) 967-9413
NPI assigned
Mar 17, 2007
Organization subpart
Yes
Parent organization
MARTINS' ACHIEVEMENT PLACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer K Thompson
Title
Quality Assurance Director
Phone
(916) 967-6253

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X CA Primary

Addresses

Primary practice location

7806 Uplands Way, Suite C
Citrus Heights, CA 95610

Mailing address

7806 Uplands Way, Suite C
Citrus Heights, CA 95610
Phone (916) 967-6253

Other names 1

  • Martins' Achievement Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martins' Childrens Achievement Place Inc4 organizations share this tax ID, including this one
Part of
Martins' Childrens Achievement Place Inc

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487778312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 UPLANDS WAY, SUITE C",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 UPLANDS WAY, SUITE C",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINS' ACHIEVEMENT PLACE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTINS' ACHIEVEMENT PLACE",
        "enumeration_date": "2007-03-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "916-967-6253"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martins' Achievement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.