KELLY FERREIRA
NPI 1629445085
Substance Abuse Rehabilitation Facility in Crockett, CA
- Individual
- Male
- Substance Abuse Rehabilitation Facility
About KELLY FERREIRA
This page provides the complete NPI Profile along with additional information for Kelly Ferreira, a provider established in Crockett, California with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1629445085 assigned on September 2015. The practitioner's primary taxonomy code is 324500000X with license number C2080275 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1629445085 Verify this NPI
- Provider Name
- KELLY FERREIRA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 715 PORT ST APT 2 CROCKETT, CA 94525
- Location Phone
- (510) 860-6324
- Mailing Address
- 715 PORT ST APT 2 CROCKETT, CA 94525
- Mailing Phone
- (510) 860-6324
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-01-2015
- Last Update Date
- 09-01-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- C2080275
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C2080275 | MEDICAID (05) | CA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629445085, enumerated as an "individual" on September 01, 2015.
The provider is located at 715 PORT ST APT 2 CROCKETT, CA 94525 and the phone number is (510) 860-6324.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
