PMR Iop LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PMR IOP LLC

Practice address

2945 Harding St Ste 213
Carlsbad, CA 92008-1818

Phone

(951) 662-5688

NPI assigned

Mar 12, 2018

Organization subpart

Yes

Parent organization

PRESENT MOMENTS RECOVERYAs reported in NPPES

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

Authorized official

Name

Amy Gladden, CADCII, ICADC

Title

Program Director

Phone

(951) 662-5688

Specialties & licenses 1

Addresses

Part of

Present Moments Recovery

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Present Moments Recovery

  • Substance Abuse Rehabilitation Facility
  • San Marcos, CA
  • NPI 1285013672
  NPPES parent name

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1790288116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 ANTILLA WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920780917",
            "telephone_number": "951-662-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HARDING ST STE 213",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081818",
            "telephone_number": "951-662-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR IOP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENT MOMENTS RECOVERY",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "951-662-5688",
        "authorized_official_credential": "CADCII, ICADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Dominique Pisigan
• Deysi Yajaira Pizano
• Klara Marie Placek
• Carolina Plaza
• Plume Counseling
• Alexandra Irene Poblete-Soliven
• Sara Ann Poggi, PA-C
• Lauren Pohl, BS
• Kiley Mae Pohlmann
• John Michael Polak, LAC

• Substance Use Disorder Rehabilitation Clinic/Center in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.