PALM SPRINGS RECOVERY TREATMENT CENTER (NPI# 1518571066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518571066 |
| Entity Type | Organization |
| Organization Name | PALM SPRINGS RECOVERY TREATMENT CENTER |
| Practice Address |
45650 Williams Rd Indian Wells CA 92210-8474 |
| Practice Telephone | 8184411049 |
| Mailing Telephone | 8184411049 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MARIAM MARIYA NIKOGOSYAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8184411049 |
| Authorized Official Credential | MA HUMAN SERVICE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mind and Body Recovery | Doing Business As Name - Organization |
| Street Address |
45650 WILLIAMS RD |
| City | INDIAN WELLS |
| State | CA |
| Zip Code | 92210-8474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750579348 | Linda Mak, Md, Inc. | Dermatology | 74-900 Hwy 111, Ste 212, Indian Wells, CA 92210 | 2007-10-09 |
| 1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
| 1477696813 | Richard Stephen Donley | Chiropractor | 74967 Highway 111, Indian Wells, CA 92210 | 2007-02-15 |
| 1689746125 | Frank Warren Gustafson | Physical Therapist | 45240 Club Drive, Indian Wells, CA 92210 | 2006-11-13 |
| 1891899373 | Matthew F Gutowicz Jr. | Radiology | 74785 Highway 111 Suite V101 Wall St West Bldg, Indian Wells, CA 92210 | 2006-09-12 |
| 1407959455 | Emergency Physicians Medical Group Inc | Emergency Medicine | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2006-09-06 |
| 1033169339 | Adam James Brochert | Radiology | 74785 Us Highway 111 Ste 101, Indian Wells, CA 92210 | 2006-05-10 |
| 1801181961 | Executive Urgent Care of Indian Wells | Clinic/Center | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2011-06-16 |
| 1801093844 | Frank Conyngham Crawford II | Dentist | 74-900 Hwy 111, Suite 210, Indian Wells, CA 92210 | 2007-07-02 |
| 1942358320 | Richard Vandyke Packard | Optometrist | 74927 Us Highway 111, Indian Wells, CA 92210 | 2007-01-08 |
| Find all providers in zip 92210 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719265 | Physiotherapy Associates, Inc. | Clinic/Center | 11253 Brockway Rd Ste 102, Truckee, CA 96161-3358 | 2020-10-27 |
| 1417561242 | Hak Medical Consulting | Clinic/Center | 15424 Marilla St, North Hills, CA 91343-2125 | 2020-08-31 |
| 1780293530 | Physiotherapy Associates, Inc. | Clinic/Center | 2060 Otay Lakes Rd Ste 110, Chula Vista, CA 91913-1364 | 2020-07-28 |
| 1083239875 | Physiotherapy Associates, Inc. | Clinic/Center | 6400 Village Pkwy Ste 104, Dublin, CA 94568-3007 | 2020-06-08 |
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1326689050 | Physiotherapy Associates, Inc. | Clinic/Center | 1470 Civic Ct Ste 320, Concord, CA 94520-5230 | 2019-10-03 |
| 1023661246 | Physiotherapy Associates, Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 906, Los Angeles, CA 90048-5810 | 2019-07-17 |
| 1821556689 | Top Tier Rehab & Performance | Clinic/Center | 45 Tulare Dr, Aliso Viejo, CA 92656-8084 | 2019-03-11 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| 1427552397 | Neo Chiropractic United Pourarbab Inc | Clinic/Center | 215 S Hickory St Ste 116, Escondido, CA 92025-4360 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN WELLS |
| Zip Code | 92210 |
Please comment or provide details below to improve the information on PALM SPRINGS RECOVERY TREATMENT CENTER.
| 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.