Coachella Valley Treatment Center

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

COACHELLA VALLEY TREATMENT CENTER

Practice address

81709 Dr Carreon Blvd
Indio, CA 92201-5509

Phone

(760) 347-0000

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dimple Agrawal., MD

Title

Medical Director

Phone

(760) 347-0000

Specialties & licenses 2

Addresses

Other names 1

• coachella valley treatment center Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naomi Cazares Siqueiros, RADT 1

  • Addiction (Substance Use Disorder) Counselor
  • Indio, CA
  • NPI 1174209621
  NPD

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1770294159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-347-0000",
            "fax_number": "760-347-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015509",
            "telephone_number": "760-347-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL.",
        "authorized_official_first_name": "DIMPLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-347-0000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coachella valley treatment center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lilibeth Y Co, P.T.
• Coachella Valley Care Medical Associates Inc
• Coachella Valley Care Medical Associates Inc
• Coachella Valley East Medical Transportation
• Coachella Valley Medical Transport
• Coalition to Reduce Underage Drinking, Inc.
• Veronica Cobarrubio
• Jacqueline Anise Cody
• Kierra Elaine Coleman
• Kathy M Collins

• Counseling Psychologist in Indio, CA
• Providers in Indio, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.