NPIMap

Organization Active NPI

Channel Islands Rehab, LLC

Doing business as Channel Islands Treatment

  • Adult Mental Health Clinic/Center
  • Ventura, CA
National Provider Identifier
1639887326
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHANNEL ISLANDS REHAB, LLC
Doing business as
Channel Islands Treatment
Practice address
4474 Market St Ste 505
Ventura, CA 93003-5812
Phone
(805) 218-0079
Fax
(805) 834-0288
NPI assigned
Nov 10, 2022
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHANNEL ISLANDS REHAB, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Dr. Allison Hopkins, PH.D.NPI 1356994891
Title
Ceo
Phone
(214) 934-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

4474 Market St Ste 505
Ventura, CA 93003-5812

Mailing address

4744 Telephone Rd Ste 3
Ventura, CA 93003-5258
Phone (214) 934-8999

Other names 1

  • Channel Islands Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Channel Islands Rehab LLC3 organizations share this tax ID, including this one
Part of
Channel Islands Rehab LLC

Other organizations with this tax ID 2

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

Locations

4474 Market St
Ste 506
Ventura, CA 93003

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1639887326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 TELEPHONE RD STE 3",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035258",
            "telephone_number": "214-934-8999",
            "fax_number": "805-834-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 MARKET ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035812",
            "telephone_number": "805-218-0079",
            "fax_number": "805-834-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL ISLANDS REHAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANNEL ISLANDS REHAB, LLC.",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-934-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel Islands Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Channel Islands Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.