NPIMap

Organization Active NPI

Pacifica Recovery, Inc.

  • Mental Health Counselor
  • Claremont, CA
National Provider Identifier
1487793915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PACIFICA RECOVERY, INC.
Practice address
415 W Foothill Blvd Ste 210
Claremont, CA 91711-2780
Phone
(909) 447-5081
NPI assigned
Feb 5, 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
Ms. Marilee Rhoads
Title
Office Manager
Phone
(909) 447-5081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

415 W Foothill Blvd Ste 210
Claremont, CA 91711-2780

Mailing address

PO Box 2041
Upland, CA 91785-2041
Phone (909) 447-5081

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Recovery Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487793915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917852041",
            "telephone_number": "909-447-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W FOOTHILL BLVD STE 210",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112780",
            "telephone_number": "909-447-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-447-5081",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, 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.