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IMPACT OUTPATIENT
NPI 1497196075
Substance Abuse Rehabilitation Facility in Pasadena, CA

Active since July 11, 2013
1450 N LAKE AVE, 2ND FLOOR, PASADENA, CA 91104(626) 564-4240(626) 577-4250 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Impact Outpatient NPPES

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

IMPACT OUTPATIENT (NPI 1497196075) is a healthcare organization registered as a substance abuse rehabilitation facility in Pasadena, California and active in the NPI registry since July 2013. The organization lists Christina Gonzales, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497196075
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePRINCIPLES INC (DBA) IMPACT DRUG & ALCOHOL TREATMENT CENTER
Location Address1450 N LAKE AVE, 2ND FLOORPasadena, CA 91104-2301
Mailing Address1450 N Lake Ave, 2nd FloorPasadena, CA 91104-2301 · (626) 564-4240 · Fax (626) 577-4250
Phone(626) 564-4240
Fax(626) 577-4250
Organization SubpartNo
Authorized OfficialChristina GonzalesExecutive Director · (626) 798-0884
Enumeration DateJuly 11, 2013
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1497196075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 190094GN
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1450 N LAKE AVE, Pasadena, CA 91104
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Other Names 1

Doing Business AsImpact Outpatient

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.

MS. JEANETTE IRENE NELSON MCEVEETY RRW
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 798-6970
JAN HERMANN CLMT
Massage Therapist
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 798-7805
PHILLIP CODD CADC
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161
JESSICA LOPEZ
Student in an Organized Health Care Education/Training Program
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161
JAGVINDER SINGH MEDICAL CORP
Internal Medicine (Geriatric Medicine)
1450 N LAKE AVE, SUITE A
PASADENA, CA 91104
Los Angeles County (626) 797-5500
JENNA DELEO
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 564-4242
GEORGE MITCHELL
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 564-4240
ROCKWELL ANTHONY MORENO
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161

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 Principles Inc (dba) Impact Drug & Alcohol Treatment Center's NPI number?

The NPI number for Principles Inc (dba) Impact Drug & Alcohol Treatment Center is 1497196075. It was assigned to this organization in the NPPES registry on July 11, 2013. The provider is doing business as Impact Outpatient.

Where is Principles Inc (dba) Impact Drug & Alcohol Treatment Center located?

Principles Inc (dba) Impact Drug & Alcohol Treatment Center is located at 1450 N Lake Ave 2nd Floor, Pasadena, CA 91104. The listed phone number is (626) 564-4240.

What is Principles Inc (dba) Impact Drug & Alcohol Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Principles Inc (dba) Impact Drug & Alcohol Treatment Center was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.