NPIMap

Organization Active NPI

Freedom Addiction Therapeutic Services,Inc.

  • Substance Abuse Rehabilitation Facility
  • Palmdale, CA
National Provider Identifier
1902445331
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FREEDOM ADDICTION THERAPEUTIC SERVICES,INC.
Practice address
502 Sugar Loaf Dr
Palmdale, CA 93551-7953
Phone
(661) 526-7495
Fax
(661) 526-7508
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. Derrick L. Smith, G50178
Title
Medical Director
Phone
(951) 551-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

502 Sugar Loaf Dr
Palmdale, CA 93551-7953

Mailing address

502 Sugar Loaf Dr
Palmdale, CA 93551-7953
Phone (661) 526-7495

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@freedomtherapeutic.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1902445331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SUGAR LOAF DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935517953",
            "telephone_number": "661-526-7495",
            "fax_number": "661-526-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SUGAR LOAF DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935517953",
            "telephone_number": "661-526-7495",
            "fax_number": "661-526-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ADDICTION THERAPEUTIC SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-551-5201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "G50178"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@freedomtherapeutic.com",
            "affiliation": "N",
            "endpointDescription": "admin@freedomtherapeutic.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "502 Sugar Loaf Dr",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935517953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.