Active NPI
Seasons Recovery Physicians Group, LLC
- Group Psychotherapy Psychologist
- Malibu, CA
National Provider Identifier
1821395260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- SEASONS RECOVERY PHYSICIANS GROUP, LLC
- Practice address
- 30344 Morning View Dr
Malibu, CA 90265-3619 - Phone
- (800) 990-0340
- Fax
- (954) 337-0364
- NPI assigned
- Feb 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Zayas
- Title
- Account Manager
- Phone
- (800) 990-0340
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Group Psychotherapy Psychologist | 103TP2701X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Acupuncturist | 171100000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
30344 Morning View Dr
Malibu, CA 90265-3619
Mailing address
30245 Pacific Coast Hwy
Malibu, CA 90265-3603
Phone (800) 990-0340
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1821395260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30245 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902653603",
"telephone_number": "800-990-0340",
"fax_number": "954-337-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30344 MORNING VIEW DR",
"city": "MALIBU",
"state": "CA",
"postal_code": "902653619",
"telephone_number": "800-990-0340",
"fax_number": "954-337-0364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS RECOVERY PHYSICIANS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2011-04-29",
"status": "A",
"authorized_official_last_name": "ZAYAS",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "800-990-0340"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.