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ROOTS ADDICTION AND PSYCHIATRY MEDICAL GROUP, PC
NPI 1205529252
Psychiatry & Neurology - Psychiatry in Long Beach, CA

Active since May 26, 2023
3939 ATLANTIC AVE STE 100, LONG BEACH, CA 90807(562) 473-0825(562) 473-0825 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roots Addiction And Psychiatry Medical Group, Pc NPPES

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

ROOTS ADDICTION AND PSYCHIATRY MEDICAL GROUP, PC (NPI 1205529252) is a healthcare organization registered as a psychiatry in Long Beach, California and active in the NPI registry since May 2023. The organization lists Andrei Dokukin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205529252
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameROOTS ADDICTION AND PSYCHIATRY MEDICAL GROUP, PC
Location Address3939 ATLANTIC AVE STE 100Long Beach, CA 90807-3529
Mailing Address3939 Atlantic Ave Ste 100Long Beach, CA 90807-3529 · (562) 473-0825 · Fax (562) 473-0825
Phone(562) 473-0825
Fax(562) 473-0825
Organization SubpartNo
Authorized OfficialAndrei DokukinCeo · (562) 304-9592
Enumeration DateMay 26, 2023
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1205529252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
3939 ATLANTIC AVE STE 100, Long Beach, CA 90807
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DANINA A RODRIGUEZ MA
Physician Assistant (Medical)
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 633-1765
JESSICA A CISNEROS MA/ MANAGER
Physician Assistant (Medical)
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 633-1765
REVITALIZE LIFE CENTER A PC
Internal Medicine
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 457-6010

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 Roots Addiction And Psychiatry Medical Group, PC's NPI number?

The NPI number for Roots Addiction And Psychiatry Medical Group, PC is 1205529252. It was assigned to this organization in the NPPES registry on May 26, 2023.

Where is Roots Addiction And Psychiatry Medical Group, PC located?

Roots Addiction And Psychiatry Medical Group, PC is located at 3939 Atlantic Ave Ste 100, Long Beach, CA 90807. The listed phone number is (562) 473-0825.

What is Roots Addiction And Psychiatry Medical Group, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Roots Addiction And Psychiatry Medical Group, PC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.