Organization Active NPI

Golden Mental Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Temecula, CA
National Provider Identifier
1770824526
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
GOLDEN MENTAL HEALTH LLC
Practice address
40810 County Center Dr
Suite 150
Temecula, CA 92591-6053
Phone
(800) 474-4059
Fax
(866) 202-4551
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Jamison Derek Feramsico, MD
Title
Medical Director
Phone
(800) 474-4059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

40810 County Center Dr
Suite 150
Temecula, CA 92591-6053

Mailing address

1 Better World Cir
Suite 300
Temecula, CA 92590-3712
Phone (800) 474-4059

National Provider Directory

National Provider Directory

Locations

1 Better World Cir
Ste 304
Temecula, CA 92590
Phone (800) 474-4059

1 Better World Cir
Ste 300
Temecula, CA 92590

40810 County Center Dr
Ste 150
Temecula, CA 92591
Phone (800) 474-4059

23905 Clinton Keith Rd
#114411
Wildomar, CA 92595
Phone (951) 225-1347

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1770824526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETTER WORLD CIR",
            "address_2": "SUITE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903712",
            "telephone_number": "800-474-4059",
            "fax_number": "866-202-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40810 COUNTY CENTER DR",
            "address_2": "SUITE 150",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916053",
            "telephone_number": "800-474-4059",
            "fax_number": "866-202-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "FERAMSICO",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-474-4059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.