SENECA FAMILY OF AGENCIES (NPI# 1326412099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326412099 |
Entity Type | Organization |
Organization Name | SENECA FAMILY OF AGENCIES |
Practice Address |
365 Kuck Ln Petaluma CA 94952 |
Mailing Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
Practice Telephone | 5106544004 |
Mailing Telephone | 5106544004 |
Enumeration Date | 2015-11-18 |
Last Update Date | 2020-01-21 |
Authorized Official Name | SANDY HOBSON (QUALITY ASSURANCE DIRECTOR) |
Authorized Official Telephone | 5107255727 |
Is Organization Subpart | Y |
Parent Organization Name | SENECA FAMILY OF AGENCIES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 0015 | 05 |
Other Name | Type Code |
---|---|
Sonoma Kuck Lane | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
1144878471 | Seneca Family of Agencies | Community/Behavioral Health | 575 W Fremont Ave, Sunnyvale, CA 94087-2556 | 2019-08-29 |
1902454226 | Seneca Family of Agencies | Community/Behavioral Health | 401 W Hamilton Ave, Campbell, CA 95008-0509 | 2019-08-29 |
1043866817 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 3710 Bodega Ave, Petaluma, CA 94952-8015 | 2019-08-16 |
1013489053 | Seneca Family of Agencies | Community/Behavioral Health | 383 1st St, Gilroy, CA 95020-5028 | 2018-12-31 |
1902381098 | Seneca Family of Agencies | Community/Behavioral Health | 951 Oconnor St, East Palo Alto, CA 94303-2022 | 2018-09-25 |
1699258368 | Seneca Family of Agencies | Community/Behavioral Health | 2711 Maricopa Ave, Richmond, CA 94804-1006 | 2018-09-10 |
1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | SENECA FAMILY OF AGENCIES | 3438 S 148th St, Tukwila, WA 98168-4319 |
Oregon Corporations, Companies and Business Names | SENECA FAMILY OF AGENCIES | 6925 Chabot Rd, Oakland, CA 94605 |
Street Address |
365 KUCK LN |
City | PETALUMA |
State | CA |
Zip Code | 94952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528294386 | Lenka Schroeder | Marriage & Family Therapist | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2009-06-08 |
1487169413 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2017-12-13 |
1003209107 | Kelsey Gielen | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
1194118299 | Jennifer Aiello | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
1912390014 | Shohreh Hemmat | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
1043609688 | Kyle Lew | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-01-20 |
1295124345 | Andrew Saffold | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-01-13 |
1184012254 | Whitney Rodgers | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-24 |
1992103865 | Jessica Conrad | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-09 |
1588062434 | Ebenezer Karikari | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
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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 |
---|---|---|---|---|
1437360989 | Lifeworks of Sonoma County | Community/Behavioral Health | 333 Casa Grande Road, Petaluma, CA 94954-5799 | 2007-05-25 |
1396951430 | Petaluma People Services Center | Community/Behavioral Health | 900 Hopper Street, Petaluma, CA 94952 | 2007-05-15 |
1558405126 | Petaluma People Services Center | Community/Behavioral Health | 1500 Petaluma Blvd. South, Petaluma, CA 94952-0000 | 2007-02-16 |
1609425065 | Louise Moore | Community/Behavioral Health | 7 4th St Ste 13, Petaluma, CA 94952-3072 | 2019-09-09 |
1215472030 | Seeds of Awareness, Inc | Community/Behavioral Health | 7 4th St, Suite 46, Petaluma, CA 94952-3043 | 2017-01-03 |
1588012611 | Seneca Family of Agencies | Community/Behavioral Health | 3480 Bodega Ave, Petaluma, CA 94952 | 2016-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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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.