RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC. (NPI# 1376003277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376003277 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC. |
| Practice Address |
10400 Fricot City Rd San Andreas CA 95249-9642 |
| Mailing Address |
2560 Business Pkwy Ste B Minden NV 89423-8961 |
| Practice Telephone | 2097364500 |
| Mailing Telephone | 7753922657 |
| Mailing Fax Number | 7753922455 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Telephone | 7753922639 |
| Is Organization Subpart | Y |
| Parent Organization Name | RITE OF PASSAGE ATHLETIC TRAINING CENTERS & SCHOOLS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sierra Ridge Academy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373516 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 100b Rosaschi Rd, Yerington, NV 89447-8722 | 2020-07-15 |
| 1013538750 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 800 E Charleston Blvd, Las Vegas, NV 89104-1512 | 2020-05-05 |
| 1902381361 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 24507 Marbella Ave, Carson, CA 90745-6410 | 2018-10-01 |
| 1902429087 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2020-05-22 |
| 1770127359 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2019-11-06 |
| 1093282220 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste C, Tustin, CA 92782-0201 | 2018-10-25 |
| 1255808564 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste D, Tustin, CA 92782-0201 | 2018-10-25 |
| 1528543212 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 15405 Lansdowne Rd Ste C, Tustin, CA 92782-0201 | 2018-09-27 |
| Street Address |
10400 FRICOT CITY RD |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249-9642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609092212 | Lauren Rae Liberty | Social Worker | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2007-04-18 |
| 1629679634 | Tiffany Souza | Counselor | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-11-05 |
| 1063039758 | Arianna Zylstra | Emergency Medical Technician, Basic | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-06-29 |
| 1902430077 | Laura Huston | Registered Nurse | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-02-27 |
| 1992265714 | Ramon Francisco Ruiz Sr. | Case Management | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2019-03-20 |
| 1194284158 | Miguel Picasso | Case Management | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2019-03-18 |
| 1437678224 | Paige Dyer Woodard | Counselor | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
Please comment or provide details below to improve the information on RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC..
| 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.