NPIMap

Organization Active NPI

Scccc

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
National Provider Identifier
1659629863
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
S0411260827 Issued in CA
Legal business name
SCCCC
Practice address
125 Rigg St
Santa Cruz, CA 95060-4203
Phone
(831) 423-3890
Fax
(831) 423-6657
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Carolyn Coleman
Title
Executive Director
Phone
(831) 469-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X S0411260827 CA Primary

Addresses

Primary practice location

125 Rigg St
Santa Cruz, CA 95060-4203

Mailing address

125 Rigg St
Santa Cruz, CA 95060-4203
Phone (831) 423-3890

National Provider Directory

National Provider Directory
Tax ID family
Families Together41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

125 Rigg St
Santa Cruz, CA 95060
Phone (831) 226-3728

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1659629863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIGG ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604203",
            "telephone_number": "831-423-3890",
            "fax_number": "831-423-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIGG ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604203",
            "telephone_number": "831-423-3890",
            "fax_number": "831-423-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-469-1700"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "S0411260827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.