DEPARTMENT OF HEALTH SERVICES (NPI# 1841409224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841409224 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF HEALTH SERVICES |
| Other Organization Name | FOSTER CARE - VALUE OPTIONS |
| Practice Address |
3322 Chanate Rd Santa Rosa CA 95404-1708 |
| Practice Telephone | 7075654850 |
| Mailing Telephone | 7075654850 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANA STORNETTA (COMPLIANCE AUDITOR ACCOUNTANT III) |
| Authorized Official Telephone | 7075654850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FOSTER CARE PROVIDER NUMB | 49ZZ | 01 |
| Other Name | Type Code |
|---|---|
| Foster Care - Value Options | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295167070 | Department of Health Services | Clinic/Center | 810 Grove St, Sonoma, CA 95476-5328 | 2013-08-05 |
| 1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
| 1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
| 1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
| 1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
| 1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
| 1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
| 1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
| 1376696914 | Department of Health Services | Clinic/Center | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2007-01-18 |
| 1043668023 | Department of Health Services | Clinic/Center | 450 Bauchet St, Msb ----room E873, Los Angeles, CA 90012-2907 | 2016-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES | 50 Douglas Dr Ste 310a, Martinez, CA 94553-4003 |
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES/CLINICS | 4600 Broadway Ste 2500, Sacramento, CA 95820-1527 |
| Street Address |
3322 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356425326 | Naomi W. Granvold | Psychiatry & Neurology | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2006-10-25 |
| 1750890703 | Patricia Aileen Francis | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-09-21 |
| 1144748740 | Sara Sarraf | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404 | 2017-09-03 |
| 1104340074 | Wendy Rene' Turner | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-08-01 |
| 1447774591 | Sarah Katherine Johnson | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-07-31 |
| 1023547403 | Brenda Jo Brown | Licensed Vocational Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-06-08 |
| 1891229688 | Joel Dyer | Marriage & Family Therapist | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-04-18 |
| 1811428345 | Russell Davidson | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-03-26 |
| 1952841777 | Michael Edward Frank | Counselor | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-02-27 |
| 1982148896 | Dana Volk | Marriage & Family Therapist | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
| 1790822955 | Individuals Now, Inc | Clinic/Center | 2447 Summerfield Road, Santa Rosa, CA 95405 | 2007-01-30 |
| 1457498636 | County of Sonoma | Clinic/Center | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2007-01-30 |
| 1629124037 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107-108, Santa Rosa, CA 95407-5458 | 2007-01-26 |
| 1245604909 | Sonoma County Counseling | Clinic/Center | 3434 Mendocino Ave, Building C, Santa Rosa, CA 95403-2274 | 2015-11-18 |
| 1336286244 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, #49269n, Santa Rosa, CA 95404-1708 | 2007-01-31 |
| 1245377159 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, #49269s, Santa Rosa, CA 95404-1708 | 2007-01-31 |
| 1538206446 | Department of Health Services | Clinic/Center | 3333 Chanate Rd, #49269r, Santa Rosa, CA 95404-1707 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | SANTA ROSA |
| Zip Code | 95404 |
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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.