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ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC
NPI 1225917735
Clinic/Center - Adult Mental Health in Long Beach, CA

Active since August 28, 2025
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807(562) 583-9345(949) 502-8887 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roots Addiction & Psychiatry Medical Group, Pc NPPES

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

ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC (NPI 1225917735) is a healthcare organization registered as an adult mental health in Long Beach, California and active in the NPI registry since August 2025. The organization lists Andrei Dokukin, Md/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1225917735
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC
Location Address3939 ATLANTIC AVE STE 102Long Beach, CA 90807-3535
Mailing Address3939 Atlantic Ave Ste 102Long Beach, CA 90807-3535 · (562) 583-9345 · Fax (949) 502-8887
Phone(562) 583-9345
Fax(949) 502-8887
Organization SubpartNo
Authorized OfficialAndrei DokukinMd/ Ceo · (917) 647-5031
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1225917735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3939 ATLANTIC AVE STE 102, Long Beach, CA 90807
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Other Providers at the Same Location NPPES 20

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

ELIEZEL RIVERA
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 263-4733
LORI WAY M.A.
Marriage & Family Therapist
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 249-5731
CHAD T SJULE RAC
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 350-9346
DESIREE ROSAS
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 471-7710
MS. STEPHANIE LYN KOONTZ
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 473-0830
NICHOLAS MAHONEY REBEL AMFT
Marriage & Family Therapist
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 471-7710
DR. DIANA KANG PSYD
Psychologist (Clinical)
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 473-0827
MR. ROBERT ALLEN LAWVER M.A.
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 294-1728

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 & Psychiatry Medical Group, PC's NPI number?

The NPI number for Roots Addiction & Psychiatry Medical Group, PC is 1225917735. It was assigned to this organization in the NPPES registry on August 28, 2025.

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

Roots Addiction & Psychiatry Medical Group, PC is located at 3939 Atlantic Ave Ste 102, Long Beach, CA 90807. The listed phone number is (562) 583-9345.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Roots Addiction & Psychiatry Medical Group, PC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.