Integrity Treatment Program, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTEGRITY TREATMENT PROGRAM, LLC

Doing business as

Recover Integrity

Practice address

12301 Wilshire Blvd Ste 206
Los Angeles, CA 90025-1000

Phone

(310) 294-9030

NPI assigned

Jan 14, 2016

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yeshaia Blakeney

Title

Ceo

Phone

(310) 294-9030

Specialties & licenses 2

Addresses

Other names 1

• Recover Integrity Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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.

• Nicholai Hakim, AMFT

  • Addiction (Substance Use Disorder) Psychologist
  • Los Angeles, CA
  • NPI 1215642319
  NPD
• Ashlee Petersen, CADC I

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1942768064
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1619333002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251000",
            "telephone_number": "310-294-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251000",
            "telephone_number": "310-294-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY TREATMENT PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "YESHAIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-294-9030"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@recoverintegrity.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Email, Phone",
            "address_1": "12301 Wilshire Blvd Ste 206",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900251000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Recover Integrity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Integrity Health and Nursing of California, PC
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• Intensity Home Health Inc
• Intentional Connections Inc
• Interactive Healthcare Medical Group PC

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.