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CHEMICAL DEPENDENCY TREATMENT ASSOCIATES INC NPI 1245767516


NPI Information

NPI: 1245767516
Provider Name: CHEMICAL DEPENDENCY TREATMENT ASSOCIATES, INC

Former Legal Business Name: MICHAEL PARR MD INC

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 05D1093761

Address:
455 UNIVERSITY AVE STE 320
SACRAMENTO, CA
ZIP 95825
Phone: (916) 333-5955
Get Directions

CHEMICAL DEPENDENCY TREATMENT ASSOCIATES, INC is an addiction medicine internal medicine in Sacramento, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CHEMICAL DEPENDENCY TREATMENT ASSOCIATES, INC NPI is 1245767516. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Michael Parr Md Inc.

The provider's business location address is:

455 UNIVERSITY AVE STE 320
SACRAMENTO, CA
ZIP 95825-580
Phone: (916) 333-5955

The provider's authorized official is Angella Barr .
The authorized official title is President and has the following contact phone number (917) 301-5917.

The CLIA number assigned to this NPI record is 05D1093761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine2012239CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11457588964OTHERCALIFORNIANPPES
21912935123OTHERCALIFORNIANPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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