Dual Diagnosis Assessment and Treatment Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

96000148 Issued in CA

Legal business name

DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC

Doing business as

Health Care Integrated Services

Practice address

2600 N Central Ave
B1
Compton, CA 90222-1640

Phone

(888) 417-5163

Fax

(888) 316-1604

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edna Elizabeth Miller, D.D., PSY. ED

Title

President

Phone

(310) 256-8809

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Health Care Integrated Services Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanah Ndiaye

  • Community Health Worker
  • Compton, CA
  • NPI 1760113682
  NPD (past)
• Leah Marie Smith

  • Student in an Organized Health Care Education/Training Program
  • Compton, CA
  • NPI 1346924370
  NPD (past)
• Athena L Watkins, RN, MPH, MSN

  • Community Health Registered Nurse
  • Compton, CA
  • NPI 1699153833
  NPD (past)
• Khalid A Kamal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1396790838
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1659324408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92619",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908092619",
            "telephone_number": "310-256-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N CENTRAL AVE",
            "address_2": "B1",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221640",
            "telephone_number": "888-417-5163",
            "fax_number": "888-316-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-256-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D., PSY. ED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "96000148",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL DEPT OF HUMAN SV",
            "identifier": "CMM71096F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Integrated Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafael Dominguez
• Keith Donerson
• Pedro Dorantes
• Dr. Edward Austin Family Medical Center
• Dr. Jay Messinger
• Dual Diagnosis Assessment and Treatment Center, Inc.
• Tina D Duff
• Caitlin Duke
• Dxterity Diagnostics, Inc.
• E.Moawad Dental Corporation

• Clinic/Center in Compton, CA
• Providers in Compton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.