ADDICTION MEDICINE CONSULTING (NPI# 1326391459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326391459 |
| Entity Type | Organization |
| Organization Name | ADDICTION MEDICINE CONSULTING |
| Practice Address |
1325 North Holladay Dr. Seaside OR 97138 |
| Mailing Address |
2359 S Edgewood St Seaside OR 97138-5082 |
| Practice Telephone | 5037387700 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | JAMES HERNDON (DIRECTOR) |
| Authorized Official Telephone | 2068528815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1325 NORTH HOLLADAY DR. |
| City | SEASIDE |
| State | OR |
| Zip Code | 97138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| 1649301052 | Mary Ann Gibbs | Chiropractor | 45 N Holladay Dr, Seaside, OR 97138 | 2007-03-08 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114467602 | Community Human Services | Substance Abuse Rehabilitation Facility | 1001 Elm Ave, Seaside, CA 93955-4905 | 2017-03-02 |
| 1740476241 | Awakenings By The Sea | Substance Abuse Rehabilitation Facility | 1325 N Holladay Dr, Seaside, OR 97138-7131 | 2007-09-18 |
| 1386850295 | Community Humanservices | Substance Abuse Rehabilitation Facility | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2007-05-15 |
| 1528316577 | Coastal Breeze Recovery, LLC | Substance Abuse Rehabilitation Facility | 1325 N Holladay Dr, Seaside, OR 97138-7131 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1548822216 | Oregon Recovery Behavioral Health | Substance Abuse Rehabilitation Facility | 1184 Mcgee Ct Ne Ste 200, Keizer, OR 97303-9443 | 2019-07-02 |
| 1972011682 | Women's Enrichment Counseling | Substance Abuse Rehabilitation Facility | 1300 John Adams St Ste 103, Oregon City, OR 97045-1691 | 2018-01-16 |
| 1356851042 | Debra Monaghan | Substance Abuse Rehabilitation Facility | 1271 Sw 9th St, Warrenton, OR 97146-9418 | 2017-10-06 |
| 1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
| 1043760838 | Pacific Crest Trail Detox LLC | Substance Abuse Rehabilitation Facility | 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405 | 2016-10-05 |
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1851757454 | Circle of Trust Healing Center, LLC | Substance Abuse Rehabilitation Facility | 3300 Butler Creek Rd, Ashland, OR 97520-9173 | 2016-01-12 |
| 1700258258 | La Pine Ktc, LLC | Substance Abuse Rehabilitation Facility | 16161 Burgess Rd, La Pine, OR 97739-9533 | 2015-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADDICTION MEDICINE CONSULTING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.