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DEDICATO TREATMENT CENTER INC.
NPI 1013415215
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since January 23, 2018CLIA 05D2126240 · Waiver
133 N ALTADENA DR STE 401, PASADENA, CA 91107(626) 921-0113(626) 921-0214 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Nov 8, 2018, Jun 16, 2018 (3 updates tracked since 2018).

About Dedicato Treatment Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDICATO TREATMENT CENTER INC. (NPI 1013415215) is a healthcare organization registered as an addiction (substance use disorder) in Pasadena, California and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Dr. Keith Lamont Marshall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013415215
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameDEDICATO TREATMENT CENTER INC
Location Address133 N ALTADENA DR STE 401Pasadena, CA 91107-7330
Mailing Address133 N Altadena Dr Ste 401Pasadena, CA 91107-7330 · (626) 921-0113
Phone(626) 921-0113
Fax(626) 921-0214
Organization SubpartNo
Authorized OfficialDr. Keith Lamont MarshallCeo · (626) 921-0113
Enumeration DateJanuary 23, 2018
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1013415215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
133 N ALTADENA DR STE 401, Pasadena, CA 91107
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Other Names 1

Doing Business AsDedicato Treatment Center Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2126240

Dedicato Treatment Center · Pasadena, CA
Active · expires Feb 21, 2027
CLIA Number05D2126240
Laboratory TypeDrug & Alcohol Rehab
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorMoses S. Nasser
Laboratory Phone(626) 921-0113
Laboratory LocationDedicato Treatment Center133 North Altadena Dr, Ste 401, Pasadena, CA 91107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEDICATO TREATMENT CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
133 N ALTADENA DR STE 401
PASADENA, CA 91107
Los Angeles County (626) 921-0113
KALEN MARSHALL
Counselor (Addiction (Substance Use Disorder))
133 N ALTADENA DR STE 401
PASADENA, CA 91107
Los Angeles County (626) 921-0113
DR. KEITH LAMONT MARSHALL PSY.D, MHD,C.A.T.C V
Counselor (Addiction (Substance Use Disorder))
133 N ALTADENA DR STE 401
PASADENA, CA 91107
Los Angeles County (626) 921-0113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedicato Treatment Center Inc's NPI number?

The NPI number for Dedicato Treatment Center Inc is 1013415215. It was assigned to this organization in the NPPES registry on January 23, 2018. The provider is doing business as Dedicato Treatment Center Inc..

Where is Dedicato Treatment Center Inc located?

Dedicato Treatment Center Inc is located at 133 N Altadena Dr Ste 401, Pasadena, CA 91107. The listed phone number is (626) 921-0113.

What is Dedicato Treatment Center Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Dedicato Treatment Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2126240) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dedicato Treatment Center Inc was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.