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PARIS SUPRY RAD-T
NPI 1780300509
Substance Abuse Rehabilitation Facility in Santa Ana, CA

Active since October 13, 2022
1950 E 17TH ST STE 150, SANTA ANA, CA 92705(714) 547-5375 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Paris Supry Rad-t NPPES

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

PARIS SUPRY RAD-T (NPI 1780300509) is an individual substance abuse rehabilitation facility provider in Santa Ana, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1780300509
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NamePARIS SUPRYCredential: RAD-T
Location Address1950 E 17TH ST STE 150Santa Ana, CA 92705-6852
Mailing Address1950 E 17th St Ste 150Santa Ana, CA 92705-6852
Phone(714) 547-5375
Sole ProprietorYes
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1780300509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
1950 E 17TH ST STE 150, Santa Ana, CA 92705
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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.

ERIN TROSKE SUDRC
Counselor (Addiction (Substance Use Disorder))
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (949) 774-2928
LAUREN C AGAJANIAN CPRM
Peer Specialist
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (562) 753-4052
TAHRA JOSEPH AA-SUDC
Counselor (Addiction (Substance Use Disorder))
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (714) 547-5375
MICHAEL SNAVELY
Licensed Vocational Nurse
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (949) 774-2928
GAL COHEN
Counselor (Addiction (Substance Use Disorder))
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (714) 547-5375
DANIELLE R DENIO
Counselor (Addiction (Substance Use Disorder))
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (714) 547-5375
LAUREN PETROVIC
Counselor
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (714) 547-5375
TAMIKA CARROLL
Counselor (Addiction (Substance Use Disorder))
1950 E 17TH ST STE 150
SANTA ANA, CA 92705
Orange County (714) 547-5375

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 Paris Supry's NPI number?

The NPI number for Paris Supry is 1780300509. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Paris Supry located?

Paris Supry practices at 1950 E 17th St Ste 150, Santa Ana, CA 92705. The listed phone number is (714) 547-5375.

What is Paris Supry'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 Paris Supry was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.