Organization Active NPI

The Center for Adolescent Addiction Recovery

  • Voluntary or Charitable Agency
  • Anaheim, CA
National Provider Identifier
1841689122
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
THE CENTER FOR ADOLESCENT ADDICTION RECOVERY
Practice address
1210 N Jefferson St
Unit F
Anaheim, CA 92807-1630
Phone
(714) 944-9288
Fax
(714) 961-1512
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Deborah A Berberich, PH.D.NPI 1639450935
Title
Director
Phone
(714) 944-9288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1210 N Jefferson St
Unit F
Anaheim, CA 92807-1630

Mailing address

1210 N Jefferson St
Unit F
Anaheim, CA 92807-1630
Phone (714) 944-9288

Other identifiers 1

IdentifierTypeStateIssuer
1639450935OtherCANPI

Other names 1

  • The CAAR Other name

National Provider Directory

National Provider Directory

Locations

1210 N Jefferson St
Ste F
Anaheim, CA 92807
Phone (714) 398-8491

Practitioners & affiliated clinicians

Practitioners 1

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1841689122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N JEFFERSON ST",
            "address_2": "UNIT F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071630",
            "telephone_number": "714-944-9288",
            "fax_number": "714-961-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N JEFFERSON ST",
            "address_2": "UNIT F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071630",
            "telephone_number": "714-944-9288",
            "fax_number": "714-961-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ADOLESCENT ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "BERBERICH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-944-9288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639450935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The CAAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.