Individual provider Active NPI

Alice Dubberly, R.A.S. & C.A.T.C.

  • Addiction (Substance Use Disorder) Counselor
  • Salinas, CA
National Provider Identifier
1588113070
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RAS-B1205161649 Issued in CA
Practice address
11 Peach Dr
Salinas, CA 93901-3710
Phone
(831) 753-5145
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X D1008300941 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X RAS-B1205161649 CA Primary

Addresses

Primary practice location

11 Peach Dr
Salinas, CA 93901-3710

Mailing address

11 Peach Dr
Salinas, CA 93901-3710
Phone (831) 753-5145

Other identifiers 2

IdentifierTypeStateIssuer
CATC D1008300941OtherCABOARD CERTIFIED ADDICTIONS SPECIALIST
B1205161649OtherCAREGISTERED ADDICTIONS SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1008300941CAMDAddiction (Substance Use Disorder) Counselor
RAS-B1205161649CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1588113070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEACH DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013710",
            "telephone_number": "831-753-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEACH DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013710",
            "telephone_number": "831-753-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBERLY",
        "first_name": "ALICE",
        "credential": "R.A.S. & C.A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "D1008300941",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RAS-B1205161649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED ADDICTIONS SPECIALIST",
            "identifier": "CATC D1008300941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED ADDICTIONS SPECIALIST",
            "identifier": "B1205161649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.