NPIMap

Organization Active NPI

Mountain Side Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Colfax, CA
National Provider Identifier
1891319695
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MOUNTAIN SIDE BEHAVIORAL HEALTH LLC
Practice address
1033 S Auburn St
Colfax, CA 95713-9703
Phone
(888) 290-0925
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Aaron Estrada, CADC-II
Title
Coo
Phone
(979) 948-4129

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1033 S Auburn St
Colfax, CA 95713-9703

Mailing address

70 College Way
Auburn, CA 95603-5001
Phone (970) 948-4129

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aarone@restorationrecoverycenter.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Mountain Side Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1891319695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "970-948-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 S AUBURN ST",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957139703",
            "telephone_number": "888-290-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "979-948-4129",
        "authorized_official_credential": "CADC-II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aarone@restorationrecoverycenter.com",
            "affiliation": "N",
            "endpointDescription": "email medical records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical",
            "address_1": "1033 South Drive",
            "city": "Colfax",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colfax, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.