Active NPI
Patricia Clifford, CADC-I
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1891318762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI28411019
- Practice address
- 8950 Cal Center Dr Ste 160
Sacramento, CA 95826-3225 - Phone
- (169) 273-3914
- Fax
- (916) 376-7467
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI28411019 | CA | Primary |
Addresses
Primary practice location
8950 Cal Center Dr Ste 160
Sacramento, CA 95826-3225
Mailing address
3608 Keswick Way
Sacramento, CA 95826-5244
Phone (916) 410-5340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI28411019 | Other | CA | CCAPP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patriciac@cedarpointrecovery.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI28411019 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1891318762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 KESWICK WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958265244",
"telephone_number": "916-410-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 CAL CENTER DR STE 160",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263225",
"telephone_number": "169-273-3914",
"fax_number": "916-376-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "PATRICIA",
"credential": "CADC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI28411019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "CI28411019",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patriciac@cedarpointrecovery.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Personal",
"address_1": "3608 Keswick Way",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958265244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.