Organization Active NPI

Central Coast Treatment Centers

  • Community/Behavioral Health Agency
  • Santa Maria, CA
National Provider Identifier
1629396569
Registry record updated May 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRAL COAST TREATMENT CENTERS
Practice address
1880 Sequoia Dr
Santa Maria, CA 93454-7646
Phone
(805) 349-1017
NPI assigned
May 15, 2010
Last updated
May 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2010

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

Authorized official

Name
Mr. James Gregg Goodwin, MA, MFT INTERN #4680
Title
Vice President & Cfo
Phone
(805) 349-1017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1880 Sequoia Dr
Santa Maria, CA 93454-7646

Mailing address

1880 Sequoia Dr
Santa Maria, CA 93454-7646
Phone (805) 349-1017

National Provider Directory

National Provider Directory
Tax ID family
Central Coast Treatment Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273881600000",
    "number": "1629396569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SEQUOIA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547646",
            "telephone_number": "805-349-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SEQUOIA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547646",
            "telephone_number": "805-349-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-15",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "805-349-1017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MFT INTERN #4680"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; 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.