DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC (NPI# 1659324408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659324408 |
| Entity Type | Organization |
| Organization Name | DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC |
| Other Organization Name | HEALTH CARE INTEGRATED SERVICES |
| Practice Address |
2600 N Central Ave B1 Compton CA 90222-1640 |
| Mailing Address |
Po Box 92619 Long Beach CA 90809-2619 |
| Practice Telephone | 8884175163 |
| Practice Fax Number | 8883161604 |
| Mailing Telephone | 3102568809 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | DR. EDNA ELIZABETH MILLER (PRESIDENT) |
| Authorized Official Telephone | 3102568809 |
| Authorized Official Credential | D.D., PSY. ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | 96000148 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL DEPT OF HUMAN SV | CMM71096F | 01 |
| Other Name | Type Code |
|---|---|
| Health Care Integrated Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC. | 19300 Rinaldi St #8270, Northridge, CA 91326-1651 |
| Street Address |
2600 N CENTRAL AVE B1 |
| City | COMPTON |
| State | CA |
| Zip Code | 90222-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699153833 | Athena L Watkins | Registered Nurse | 2600 N Central Ave, B1, Compton, CA 90222-1640 | 2015-05-08 |
| 1124405881 | Health Care Integrated Services | Clinic/Center | 2600 N Central Ave, B1, Compton, CA 90222-1640 | 2015-05-01 |
| 1093108185 | Health Care Integrated School Based Services | Clinic/Center | 2600 N Central Ave, Compton, CA 90222-1640 | 2015-03-12 |
| 1194114959 | Prime Performance Health D.b.a. Hitting The Right Note | Clinic/Center | 2600 N Central Ave, Compton, CA 90222-1640 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1467795203 | Maita Siti Kuvhenguhwa | Internal Medicine | 2251 W Rosecrans Ave Ste 18-21, Compton, CA 90222 | 2013-03-29 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 1790035129 | Danielle Cameron | Social Worker | 2010 E.el Segundo, Compton, CA 90222 | 2012-09-13 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1962683938 | We Care More II Family Clinic | Nurse Practitioner | 2110a N Santa Fe Ave, Compton, CA 90222 | 2007-11-19 |
| 1588843155 | Cynthia Y. Lidy Dba We Care More II Family Clinic | Nurse Practitioner | 2110 A N. Santa Fe Ave, Compton, CA 90222 | 2007-10-30 |
| 1134262322 | Dershsuan Lii | Dentist | 2115 N.wilmington Ave, Compton, CA 90222 | 2007-02-15 |
| 1134272032 | Karen Kincey | Physician Assistant | 25825 S. Normandie Ave., Harbor City, CA 90222 | 2007-01-22 |
| 1528324381 | David Tobey | Surgery | 2251 W Rosecrans Ave Ste 21, Compton, CA 90222 | 2012-04-05 |
| Find all providers in zip 90222 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245491661 | C-conrad Group Limited | Clinic/Center | 2601 N Wilmington Ave, Compton, CA 90222-2004 | 2008-06-18 |
| 1780729087 | Outreach Health Services, Inc | Clinic/Center | 431 W Compton Blvd, Compton, CA 90220-3008 | 2007-02-21 |
| 1356356042 | County of Los Angeles Auditor Controller | Clinic/Center | 1108 N Oleander Ave, Compton, CA 90222-4041 | 2006-07-30 |
| 1164998571 | American Current Care of California, A Medical Corporation | Clinic/Center | 2499 S Wilmington Ave, Compton, CA 90220-5434 | 2018-10-23 |
| 1124405881 | Health Care Integrated Services | Clinic/Center | 2600 N Central Ave, B1, Compton, CA 90222-1640 | 2015-05-01 |
| 1093108185 | Health Care Integrated School Based Services | Clinic/Center | 2600 N Central Ave, Compton, CA 90222-1640 | 2015-03-12 |
| 1033248117 | County of Los Angeles Auditor Controller | Clinic/Center | 1108 N Oleander Ave, Compton, CA 90222-4041 | 2007-03-05 |
| 1003945114 | County of Los Angeles Auditor Controller | Clinic/Center | 1108 N Oleander Ave, Compton, CA 90222-4041 | 2007-03-05 |
| 1932238045 | County of Los Angeles | Clinic/Center | 1108 N Oleander Ave, Compton, CA 90222-4041 | 2007-03-05 |
| 1235247578 | County of Los Angeles Auditor Controller | Clinic/Center | 1108 N Oleander Ave, Compton, CA 90222-4041 | 2006-08-28 |
| Find all providers in COMPTON | ||||
Please comment or provide details below to improve the information on DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC.
| 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.