Ladder Treatment Services Management LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LADDER TREATMENT SERVICES MANAGEMENT LLC

Practice address

3749 Sudbury Rd
Cameron Park, CA 95682-8613

Phone

(916) 304-2098

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John DoloresNPI 1417246869

Title

Co-Owner

Phone

(916) 385-4849

Specialties & licenses 1

Addresses

Other names 1

• Exalted Treatment Centers Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Dolores, PH.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1417246869
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1508683533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 VIA LOCANDA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891310113",
            "telephone_number": "916-385-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 SUDBURY RD",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828613",
            "telephone_number": "916-304-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADDER TREATMENT SERVICES MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "DOLORES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "916-385-4849",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exalted Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exalted Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremiah Khem
• Chloe King, RN
• Alyssa Nicholi Kohler, ASW
• Margaret Lorraine Koler, MFTI
• Diana Kruck
• James E Larsen, LMFT
• Je'Tai Lawson
• Hai Le, M.D.
• Eun Jeong Lee, NP
• Winnie Lei, O.D.

• Adult Mental Health Clinic/Center in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.