Premier Recovery Service, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PREMIER RECOVERY SERVICE, INC.

Practice address

29350 Pacific Coast Hwy Ste 12
Malibu, CA 90265-3970

Phone

(310) 994-0506

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Anahita Kia, JD, LMFT

Title

Clinical Director

Phone

(818) 307-6255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1629580709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29350 PACIFIC COAST HWY STE 12",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653970",
            "telephone_number": "310-994-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29350 PACIFIC COAST HWY STE 12",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653970",
            "telephone_number": "310-994-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RECOVERY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KIA",
        "authorized_official_first_name": "ANAHITA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-307-6255",
        "authorized_official_credential": "JD, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Plumb, LAT, ATC, MS
• Curtis L Pollard, CPHT
• Suzanne Polo, M.S.,R.D., C.L.T.
• Peter M Pop, M.D.
• Jason Michael Powers, SUDRC2
• Primary Caring of Malibu Medical
• Psychme, LLC
• Devorah Ilene Rader, PH.D.
• Rajnikant M Patel
• Ashley J Ramstead, LMFT

• Adult Mental Health Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.