Visions Treatment Centers, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

197603673 Issued in CA

Legal business name

VISIONS TREATMENT CENTERS, LLC

Practice address

33335 Mulholland Hwy
Malibu, CA 90265-2438

Phone

(818) 889-3665

Fax

(818) 889-8221

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John D Lieberman

Title

Director of Operations

Phone

(818) 889-3665

Specialties & licenses 6

Addresses

Other names 1

• Visions Adolescent Treatment 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

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1992050371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33335 MULHOLLAND HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652438",
            "telephone_number": "818-889-3665",
            "fax_number": "818-889-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33335 MULHOLLAND HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652438",
            "telephone_number": "818-889-3665",
            "fax_number": "818-889-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-889-3665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "197603673",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198205006",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198207305",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "197603673",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "198207305",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "198205006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions Adolescent Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Jason Vander Vorste, MS, ATC
• Arlene Velo, LCSW
• Christina W Vescovo, MFT ASSOCIATE
• Victor S Dorodny MD Inc
• Vincent Pogo Health of NV PC
• Dimitri Vitebsky, LCSW
• Francine Vogler, M.D.
• Blaire Ann Christina Ward-Denson, MSC, DOCTORAL TRAINE
• Shannon Gerald Watson, D.C.
• Marion West

• Psychiatric Residential Treatment Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.