Jblockshin & Associates LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

480035AP Issued in CA

Legal business name

JBLOCKSHIN & ASSOCIATES LLC

Doing business as

A Wise Retreat

Practice address

4749 Georgia St
Vallejo, CA 94591-6854

Phone

(707) 712-7733

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By 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

Mrs. Julie Brand-Lockshin, CADC-CAS, CWTS

Title

Executive Director

Phone

(707) 712-7733

Specialties & licenses 1

Addresses

Other names 1

• A Wise Retreat Doing business as

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1629510557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916854",
            "telephone_number": "707-712-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916854",
            "telephone_number": "707-712-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBLOCKSHIN & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "BRAND-LOCKSHIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-712-7733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADC-CAS, CWTS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "480035AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Wise Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Tomiko Jara
• Tristan Alessandro Jardini, M.D.
• Josephine Jarrett
• Seyed Sina Javidhosseini
• Carla Jaye
• Leata Jeames
• Earl Jefferson
• Keleigh Jefferson, PMHNP-BC
• Perless Daniels Jefferson
• Latisha Jenkins League

• Substance Abuse Rehabilitation Facility in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.