Missing Elements
Community/Behavioral Health in Santa Rosa, CA. Organization (NPI-2).
Details
- NPI
- 1487908620
- Entity type
- Organization (NPI-2)
- Legal business name
- Missing Elements
- Organization subpart
- No
- Enumeration date
- Nov 8, 2012
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | imf55305 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
1717 Yulupa Ave Ste 5Santa Rosa, CA 95405-6201
Phone 707-560-1051 · Fax 866-803-4979
Mailing address
Po Box 882Santa Rosa, CA 95402-0882
Phone 707-560-1051 · Fax 866-803-4979
Authorized official
Suze Cribbs
Clinical Director
7075601051
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Santa Rosa, CA
- Aldea, INC.NPI 1912780420
- Alternative Family Services, INCNPI 1770844417
- Ananda InstituteNPI 1447309554
- Anova Education And Behavior Consultation, INC.NPI 1538422985
- Bridges To Self Empowerment A Marriage And Family Therapist CorporatioNPI 1336686369
- Buckelew ProgramsNPI 1497587240
- Buckelew ProgramsNPI 1609644848
- Buckelew ProgramsNPI 1679340897
- California Parenting InstituteNPI 1669590451
- California Patenting InstituteNPI 1730326570
All 46 Community/Behavioral Health Agency providers in Santa Rosa · All 8,142 providers in Santa Rosa
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.