Active NPI
Ascellus Behavioral Health PC
- Medical Specialty Clinic/Center
- Redding, CA
National Provider Identifier
1942874565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- ASCELLUS BEHAVIORAL HEALTH PC
- Practice address
- 1267 Willis St Ste 200
Redding, CA 96001-0400 - Phone
- (561) 832-4999
- Fax
- (561) 833-9333
- NPI assigned
- May 18, 2021
- Last updated
- May 18, 2021
- 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
- Mr. David A Sack, MD
- Title
- President
- Phone
- (561) 832-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1267 Willis St Ste 200
Redding, CA 96001-0400
Mailing address
6801 Lake Worth Rd Ste 308
Greenacres, FL 33467-2966
Phone (561) 601-3092
National Provider Directory
National Provider DirectoryLocations
6801 Lake Worth Rd
Ste 308
Greenacres, FL 33467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1942874565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LAKE WORTH RD STE 308",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334672966",
"telephone_number": "561-601-3092",
"fax_number": "561-833-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 WILLIS ST STE 200",
"city": "REDDING",
"state": "CA",
"postal_code": "960010400",
"telephone_number": "561-832-4999",
"fax_number": "561-833-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCELLUS BEHAVIORAL HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "SACK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-832-4999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.