Active NPI
The Center for the Treatment of Addiction
- Preferred Provider Organization
- Fullerton, CA
National Provider Identifier
1649566225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 55017
- Legal business name
- THE CENTER FOR THE TREATMENT OF ADDICTION
- Practice address
- 104 N. Raymond Ave.
A-2
Fullerton, CA 92831 - Phone
- (714) 992-1677
- NPI assigned
- Jun 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanette Abney, MA, MFT
- Title
- Executive Director
- Phone
- (714) 992-1677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 55017 | CA | Primary |
Addresses
Primary practice location
104 N. Raymond Ave.
A-2
Fullerton, CA 92831
Mailing address
104 N Raymond Ave
A-2
Fullerton, CA 92831-4603
Phone (714) 992-1677
National Provider Directory
National Provider Directory- Tax ID family
- Addiction Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Fullerton, CA
- NPI 1073603338
Locations
104 N Raymond Ave
#A2
Fullerton, CA 92831
Phone (714) 992-1677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308700800000",
"number": "1649566225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N RAYMOND AVE",
"address_2": "A-2",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928314603",
"telephone_number": "714-992-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N. RAYMOND AVE.",
"address_2": "A-2",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92831",
"telephone_number": "714-992-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR THE TREATMENT OF ADDICTION",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A",
"authorized_official_last_name": "ABNEY",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "714-992-1677",
"authorized_official_credential": "MA, MFT"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "55017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- Thanksgiving Acuhealing Center Inc.
- Jerald John Thanos, M.D.
- Nicholas John Thanos, M.D.
- Anuj Thapar
- The Center for the Treatment of Addiction
- The Look and the Cook LLC
- The Neurobehavioral Group
- The Neurobehavioral Group, a Psychological Corporation
- The Nightingale Hospice and Palliative Care Inc.
- The Paradise
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.