NPIMap

Organization Active NPI

National Council on Alcoholism & Drug Dependence,Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1962664581
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE,INC.
Practice address
2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253
Phone
(916) 924-4818
Fax
(916) 921-1787
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mrs. Mary L Pruitt
Title
Executive Director
Phone
(916) 922-9217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253

Mailing address

2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253
Phone (916) 924-4818

Other identifiers 1

IdentifierTypeStateIssuer
34AMOtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
National Council on Alcoholism and Drug Dependance Sacramento Region3 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.

Locations

2143 Hurley Way
Ste 250
Sacramento, CA 95825
Phone (916) 922-5121

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1962664581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 HURLEY WAY",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253253",
            "telephone_number": "916-924-4818",
            "fax_number": "916-921-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 HURLEY WAY",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253253",
            "telephone_number": "916-924-4818",
            "fax_number": "916-921-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-922-9217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "34AM",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 Mar 23, 2017; 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.