Peter Macias

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15652-I Issued in CA

Practice address

1835 Allston Way
Berkeley, CA 94703-1764

Phone

(510) 666-9552

Fax

(510) 666-9099

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1518743533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205290",
            "telephone_number": "925-270-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031764",
            "telephone_number": "510-666-9552",
            "fax_number": "510-666-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "15652-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resham Macfarlane
• Maya Macgibbon
• Nicole Machado-Potestio
• Machaon Diagnostics, Inc.
• Mychal Verdad Macias
• Mack Jacob, DDS
• Robert Thomas Mack, MD
• Robert DS Mackay, M.D.
• Christie Mackenzie, O.D.
• Erin Cafaro Mackenzie

• Addiction (Substance Use Disorder) Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.