NPIMap

Organization Active NPI

Aegis Treatment Center, LLC.

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1770967465
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AEGIS TREATMENT CENTER, LLC.
Practice address
8626 Lower Sacramento Rd
Stockton, CA 95210-1835
Phone
(209) 487-2487
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Valerie Kristine Seagle
Title
Case Manager
Phone
(209) 478-2487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

8626 Lower Sacramento Rd
Stockton, CA 95210-1835

Mailing address

8626 Lower Sacramento Rd
Stockton, CA 95120
Phone (209) 478-2487

National Provider Directory

National Provider Directory

Locations

8626 Lower Sacramento Rd
Stockton, CA 95210
Phone (209) 478-2487

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1770967465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 LOWER SACRAMENTO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95120",
            "telephone_number": "209-478-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 LOWER SACRAMENTO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952101835",
            "telephone_number": "209-487-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS TREATMENT CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SEAGLE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "209-478-2487"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.