Mountain Side Behavioral Health LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MOUNTAIN SIDE BEHAVIORAL HEALTH LLC

Practice address

70 College Way
Auburn, CA 95603-5001

Phone

(970) 948-4129

NPI assigned

Jan 4, 2018

Organization subpart

No

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/Program Director

Phone

(970) 948-4129

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restoration Recovery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Mountain Side Behavioral Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Colfax, CA
  • NPI 1750012431
  NPD tax ID
• Mountain Side Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Colfax, CA
  • NPI 1891319695
  NPD tax ID

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1972010650",
    "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": "70 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "970-948-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "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/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "970-948-4129",
        "authorized_official_credential": "CADC-II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIS IS THE MEDICAL DIRECTOR",
            "identifier": "1063779163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Marie Moss, P.T.A.
• Rylee Alexis Mota, ATC
• Motherlode Counseling
• David Allen Moul, ASW
• Jamie Moulding, RDN
• Matthew Daniel Moyer, PT
• Lee Ann Mucher
• Amy Elizabeth Mueller, LCSW
• James E Mueller, BS, ATC, CMT
• Bruce G. Muff, D.D.S.

• Substance Abuse Rehabilitation Facility in Auburn, CA
• Providers in Auburn, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.