RITTER CENTER (NPI# 1417370032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417370032 |
Entity Type | Organization |
Organization Name | RITTER CENTER |
Practice Address |
16 Ritter St San Rafael CA 94901-3323 |
Mailing Address |
Po Box 3517 San Rafael CA 94912-3517 |
Practice Telephone | 4154578182 |
Mailing Telephone | 4154578182 |
Enumeration Date | 2014-02-03 |
Last Update Date | 2016-07-29 |
Authorized Official Name | MS. CIA T BYRNES (EXECUTIVE DIRECTOR/CMO) |
Authorized Official Telephone | 4154578182 |
Authorized Official Credential | FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000522 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM71061F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
1093170060 | Ritter Center | Community/Behavioral Health | 1399 N Hamilton Pkwy, Classroom 2, Novato, CA 94949-8206 | 2015-12-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RITTER CENTER | 16 Ritter St, San Rafael, CA 94901-3323 |
Street Address |
16 RITTER ST |
City | SAN RAFAEL |
State | CA |
Zip Code | 94901-3323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962611236 | Anne O'neal Poore | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2007-05-22 |
1649758962 | Joseph Bernard Charles | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2018-07-30 |
1427585264 | Nicolette Christine Gottuso | Counselor | 16 Ritter St, San Rafael, CA 94901-3323 | 2017-05-11 |
1881059210 | Dominique Mc Dowell | Counselor | 16 Ritter St, San Rafael, CA 94912-3517 | 2015-12-30 |
1952794406 | Barbara Shreibman | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2015-03-09 |
1720493661 | Alia Marie Bertolozzi | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2014-06-30 |
1427343615 | Erica Sutherland | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2011-06-15 |
1043451198 | Carmen Lily Carrouche | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2009-03-19 |
1801035043 | Marcia Tumy Byrnes | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2009-02-11 |
1861652018 | Sonya Gohel Wallace | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2008-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
Find all providers in zip 94901 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
1457888299 | Marin City Health and Wellness Center | Clinic/Center | 880 Las Gallinas Ave, Suite 2, San Rafael, CA 94903 | 2017-05-11 |
1962845131 | Marin City Health and Wellness Center | Clinic/Center | 1601 2nd St, Suite 108, San Rafael, CA 94901-2712 | 2013-04-08 |
1922303437 | Marin Community Clinic | Clinic/Center | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2011-01-13 |
1154503399 | Marin Community Clinic | Clinic/Center | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2007-11-29 |
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City | SAN RAFAEL |
Zip Code | 94901 |
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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.