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IMPACT
NPI 1962542274
Substance Abuse Rehabilitation Facility in Pasadena, CA

Active since February 07, 2007
1680 N FAIR OAKS AVE, PASADENA, CA 91103(626) 798-0884(626) 798-6970 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact NPPES

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

IMPACT (NPI 1962542274) is a healthcare organization registered as a substance abuse rehabilitation facility in Pasadena, California and active in the NPI registry since February 2007. The organization lists Mark Paquet, Admissions Director, as its authorized official.

NPPES Registry Identity

NPI1962542274
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePRINCIPLES INC (DBA) IMPACT DRUG & ALCOHOL TREATMENT CENTER
Location Address1680 N FAIR OAKS AVEPasadena, CA 91103-1642
Mailing Address1680 N Fair Oaks AvePasadena, CA 91103-1642 · (626) 798-0884 · Fax (626) 798-6970
Phone(626) 798-0884
Fax(626) 798-6970
Organization SubpartNo
Authorized OfficialMark PaquetAdmissions Director · (626) 798-0884
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1962542274 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 · 190094AN
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.
1680 N FAIR OAKS AVE, Pasadena, CA 91103
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Other Names 1

Doing Business AsImpact

Other Identifiers 5

Other1962542274CA · Mhn
Other1962542274CA · Magellan
Other1962542274CA · Blue Shield
Other1962542274CA · Optum
Other1962542274CA · Anthem Blue Cross

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.

SEAN COLUCCI
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
ROBERTO CHAVEZ
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 517-7954
GREGORY LAY
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
JOSE CASTRO
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
ELENA YVETTE RUIZ
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
CAREY GUNN
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
DENVER CUDE
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884
LADAN HARANDI
Counselor (Addiction (Substance Use Disorder))
1680 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-0884

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 1962542274. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Impact.

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

Principles Inc (dba) Impact Drug & Alcohol Treatment Center is located at 1680 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (626) 798-0884.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.