Carmella Monique Bailey, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A021840216 Issued in CA

Practice address

18912 Patrician Dr
Villa Park, CA 92861-4214

Phone

(714) 949-9426

NPI assigned

Nov 11, 2014

Sex

Female

Sole proprietor

No

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558767020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ADAMS AVE APT 7P",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268323",
            "telephone_number": "714-248-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18912 PATRICIAN DR",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614214",
            "telephone_number": "714-949-9426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10002 Briley Way",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "CA",
            "postal_code": "928614219",
            "country_code": "US",
            "telephone_number": "714-949-9426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Puerta Del Sol Ste 280",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926736362",
            "country_code": "US",
            "telephone_number": "949-276-5553 x383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CARMELLA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A021840216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bollenbach, PHARMD
• Elliott Brender, M.D.
• Tammy Tran Bui
• California Detox LLC (Connections Mental Health)
• Evelyn Jasmine Chairez, PPS

• Addiction (Substance Use Disorder) Counselor in Villa Park, CA
• Providers in Villa Park, 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 Mar 17, 2018; 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.