Organization Active NPI

Ascellus Behavioral Health PC

  • Medical Specialty Clinic/Center
  • Redding, CA
National Provider Identifier
1942874565
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.