Individual provider Active NPI

Patricia Hamrick, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Yucca Valley, CA
National Provider Identifier
1710364518
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C8051214 Issued in CA
Practice address
58945 Business Center Dr Ste J
Yucca Valley, CA 92284-7310
Phone
(760) 369-1074
Fax
(760) 369-1293
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C8051214 CA Primary

Addresses

Primary practice location

58945 Business Center Dr Ste J
Yucca Valley, CA 92284-7310

Mailing address

58945 Business Center Dr Ste J
Yucca Valley, CA 92284-7310
Phone (760) 369-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C8051214CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1710364518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58945 BUSINESS CENTER DR STE J",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847310",
            "telephone_number": "760-369-1074",
            "fax_number": "760-369-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58945 BUSINESS CENTER DR STE J",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847310",
            "telephone_number": "760-369-1074",
            "fax_number": "760-369-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "PATRICIA",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C8051214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.