Cornell Corrections of California, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1869-01 Issued in CO

Legal business name

CORNELL CORRECTIONS OF CALIFORNIA, INC.

Practice address

700 Four Mile Pkwy
Canon City, CO 81212-9114

Phone

(719) 276-7500

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

John Sadler

Title

Sr Business Manager

Phone

(412) 208-4000

Specialties & licenses 1

Addresses

Tax ID family

Cornell Corrections of California Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cornell Corrections of California, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Canon City, CO
  • NPI 1376689042
  NPD tax ID
• Cornell Corrections of California, Inc.

  dba Southern Peaks Regional Center

  • Psychiatric Residential Treatment Facility
  • Canon City, CO
  • NPI 1396319141
  NPD tax ID

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1699269142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LIBERTY AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152224776",
            "telephone_number": "412-201-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FOUR MILE PKWY",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129114",
            "telephone_number": "719-276-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL CORRECTIONS OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR BUSINESS MANAGER",
        "authorized_official_telephone_number": "412-208-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "1869-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Conover
• Eugene Robert Cook, LCSW
• Michal Cooling, CNTP, MNT
• Cornell Corrections of California, Inc.
• Cornell Corrections of California, Inc. (Southern Peaks Regional Center)
• Emily Cornella, FNP-C
• Counseling Hearts
• Counseling Hearts, PLLC
• County of Fremont (Fremont County Department of Public Health & Environment)
• Jessica Cox, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Canon City, CO
• Providers in Canon City, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.