Nathaniel Hodder-Shipp, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

881 Alma Real Drive
#310
Pacific Palisades, CA 90272

Phone

(310) 310-9249

NPI assigned

Jul 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629599337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 310",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725009",
            "telephone_number": "310-310-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DRIVE",
            "address_2": "#310",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-310-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODDER-SHIPP",
        "first_name": "NATHANIEL",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Kane and Anfruns Dental Partnership
• Heidi K Henkle, L.AC.
• Lawrence Burns Henry, O.D.
• Janine Higbie, CNS
• Alan Hoang
• Cye Hoffman, PH.D.
• Ericka Hofmeyer, LMFT92232
• Dana Grenier Holcomb, MD
• Mary Elizabeth Horan, PH.D.
• Debra Ann Horn, L.AC.

• Addiction (Substance Use Disorder) Counselor in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.