Active NPI
Acceptance Detox LLC
- Addiction Psychiatry Physician
- Fountain Valley, CA
National Provider Identifier
1780196733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- ACCEPTANCE DETOX LLC
- Practice address
- 18779 Palm St
Fountain Valley, CA 92708-6428 - Phone
- (714) 369-6232
- Fax
- (844) 244-2220
- NPI assigned
- Oct 31, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Wendy Lynn Movsesian
- Title
- Business Development/Marketing
- Phone
- (949) 205-3659
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
18779 Palm St
Fountain Valley, CA 92708-6428
Mailing address
2619 F St
Bakersfield, CA 93301-1815
Phone (661) 852-4112
Other names 1
NPPES NPI Registry- ACCEPTANCE DETOX & TREATMENT SERVICES
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2017.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509408000000",
"number": "1780196733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 F ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011815",
"telephone_number": "661-852-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18779 PALM ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086428",
"telephone_number": "714-369-6232",
"fax_number": "844-244-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCEPTANCE DETOX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A",
"authorized_official_last_name": "MOVSESIAN",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BUSINESS DEVELOPMENT/MARKETING",
"authorized_official_telephone_number": "949-205-3659"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ACCEPTANCE DETOX & TREATMENT SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.