LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
NPI 1255897757
Psychologist - Addiction (Substance Use Disorder) in Stockton, CA

Q: What is Lags Spine And Sportscare Medical Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since February 20, 2019

4505 PRECISSI LN STE A, STOCKTON, CA 95207(209) 425-3815(209) 451-0704 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lags Spine And Sportscare Medical Centers, Inc. NPPES

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

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. (NPI 1255897757) is a healthcare organization registered as an addiction (substance use disorder) in Stockton, California and active in the NPI registry since February 2019. The organization lists Amy D'amato, Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1255897757

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameLAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

Location Address4505 PRECISSI LN STE AStockton, CA 95207-6240

Mailing Address218 N I StLompoc, CA 93436-0909 · (805) 736-7886

Phone(209) 425-3815

Fax(209) 451-0704

Organization SubpartNo

Authorized OfficialAmy D'amatoContracts Manager · (805) 264-3388

Enumeration DateFebruary 20, 2019

✔ NPI 1255897757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

4505 PRECISSI LN STE A, Stockton, CA 95207

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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

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

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

Physical Medicine & Rehabilitation (Pain Medicine)

4505 PRECISSI LN STE A
STOCKTON, CA 95207

San Joaquin County (209) 425-3815

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 Lags Spine And Sportscare Medical Centers, Inc.'s NPI number?

The NPI number for Lags Spine And Sportscare Medical Centers, Inc. is 1255897757. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Lags Spine And Sportscare Medical Centers, Inc. located?

Lags Spine And Sportscare Medical Centers, Inc. is located at 4505 Precissi Ln Ste A, Stockton, CA 95207. The listed phone number is (209) 425-3815.

What is Lags Spine And Sportscare Medical Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Lags Spine And Sportscare Medical Centers, Inc. was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.