NPIMap

Organization Active NPI

Drug Abuse Alternatives Center

Doing business as Dr Sushma D Taylor Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Santa Rosa, CA
National Provider Identifier
1568218469
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DRUG ABUSE ALTERNATIVES CENTER
Doing business as
Dr Sushma D Taylor Recovery Center
Practice address
790 Sonoma Ave
Santa Rosa, CA 95404-4713
Phone
(707) 544-3295
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DRUG ABUSE ALTERNATIVES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Michael O'Brien, CADC II, NCAC I
Title
Regional Vice President
Phone
(707) 544-3296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Mailing address

2403 Professional Dr Ste 102
Santa Rosa, CA 95403-3007
Phone (707) 544-3295

Other names 1

  • Dr Sushma D Taylor Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Abuse Alternatives Ctr10 organizations share this tax ID, including this one
Part of
Drug Abuse Alternatives Ctr

Other organizations with this tax ID 9

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

Locations

790 Sonoma Ave
Santa Rosa, CA 95404
Phone (707) 360-4368

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1568218469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 PROFESSIONAL DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033007",
            "telephone_number": "707-544-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044713",
            "telephone_number": "707-544-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG ABUSE ALTERNATIVES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRUG ABUSE ALTERNATIVES CENTER",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "707-544-3296",
        "authorized_official_credential": "CADC II, NCAC I"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Sushma D Taylor Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.