FAMILY SERVICE AGENCY OF SONOMA COUNTY (NPI# 1205982147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205982147 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY OF SONOMA COUNTY |
| Practice Address |
751 Lombardi Ct Ste C Santa Rosa CA 95407-6793 |
| Practice Telephone | 7075454551 |
| Mailing Telephone | 7075454551 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANYA WOLTMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7075454551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OUTPATIENT MENTAL HEALTH | CMM70480F | 01 |
| Street Address |
751 LOMBARDI CT STE C |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710261250 | Marjorie Stornetta | Counselor | 751 Lombardi Ct Ste C, Santa Rosa, CA 95407-5454 | 2011-10-03 |
| 1043460645 | Lupe Barbara Pacheco | Physician Assistant | 751 Lombardi Ct Ste C, Santa Rosa, CA 95407-6793 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908620 | Missing Elements | Community/Behavioral Health | 425 Denton Way, Santa Rosa, CA 95401-4810 | 2012-11-08 |
| 1720306939 | Life Works of Sonoma County | Community/Behavioral Health | 2590 Piner Road, Santa Rosa, CA 95401-4035 | 2010-05-12 |
| 1396063509 | Lifeworks of Sonoma County | Community/Behavioral Health | 2480 Sebastopol Road, Santa Rosa, CA 95407-6728 | 2010-05-12 |
| 1891028445 | Sunny Hills Services | Community/Behavioral Health | 365 Casa Manana Road, Building G, Santa Rosa, CA 95409-6559 | 2009-09-15 |
| 1821254889 | Lifeworks of Sonoma County | Community/Behavioral Health | 1350 Sonoma Avenue, Santa Rosa, CA 95405-6697 | 2008-07-30 |
| 1144431693 | Life Works of Sonoma County | Community/Behavioral Health | 1370 San Miguel Road, Santa Rosa, CA 95403-1986 | 2007-05-25 |
| 1619188166 | Lifeworks of Sonoma County | Community/Behavioral Health | 1235 Mendocino Avenue, Santa Rosa, CA 95401-4386 | 2007-05-25 |
| 1225249931 | Cil/psi Special Services, Inc. | Community/Behavioral Health | 1850 Vallejo St, Santa Rosa, CA 95404-5341 | 2007-05-24 |
| 1740490176 | Cilpsi Special Services | Community/Behavioral Health | 1700 Fulton Rd, Santa Rosa, CA 95403-1815 | 2007-05-23 |
| 1558580944 | Sunny Hills Services | Community/Behavioral Health | 1360 N Dutton Ave Ste 100, Santa Rosa, CA 95401-4668 | 2007-04-24 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on FAMILY SERVICE AGENCY OF SONOMA COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.