REDWOOD COMMUNITY SERVICES, INC. (NPI# 1285187526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285187526 |
| Entity Type | Organization |
| Organization Name | REDWOOD COMMUNITY SERVICES, INC. |
| Practice Address |
9981 Spring Valley Rd Potter Valley CA 95469-9713 |
| Mailing Address |
Po Box 2077 631 S. Orchard St. Ukiah CA 95482-2077 |
| Practice Telephone | 7077431502 |
| Mailing Telephone | 7074672010 |
| Mailing Fax Number | 7074676994 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MRS. VICTORIA JERSUSHA KELLY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7074672010 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Haven House | Other Name - Individual/Organization |
| RCS Behavioral Health Services - Medication Support | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Peach St, Ukiah, CA 954824516 | 7076210219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1326305152 | Redwood Community Services, Inc. | Case Management | 310 3rd St, Eureka, CA 95501-0492 | 2012-04-18 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1285772251 | Redwood Community Services, Inc. | Marriage & Family Therapist | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-02-02 |
| 1174661284 | Redwood Community Services, Inc. | Marriage & Family Therapist | 99 S Humboldt St, Willits, CA 95490-3509 | 2007-02-01 |
| 1487172375 | Redwood Community Services, Inc. | Case Management | 320 1st St, Lakeport, CA 95453-4706 | 2017-08-31 |
| 1578085163 | Redwood Community Services, Inc. | Case Management | 7690 East Rd, Redwood Valley, CA 95470 | 2017-07-14 |
| 1477075067 | Redwood Community Services, Inc. | Case Management | 150 Gibson St, Ukiah, CA 95482-3941 | 2017-07-14 |
| 1427401439 | Redwood Community Services, Inc. | Case Management | 780 S Dora St, Ukiah, CA 95482-5348 | 2016-07-14 |
| Street Address |
9981 SPRING VALLEY RD |
| City | POTTER VALLEY |
| State | CA |
| Zip Code | 95469-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| 1538703640 | Lisa Lopez | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-10-31 |
| 1548818818 | Geoffrey Aringdale | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288448 | Richard Gardiner | Psychiatry & Neurology | 11781 East Rd, Potter Valley, CA 95469 | 2005-07-07 |
| 1629038971 | James Pretorius | Family Medicine | 8201 West Rd, Potter Valley, CA 95469-8700 | 2006-03-23 |
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1316595317 | William Crossman IIi | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2019-09-03 |
| 1982267423 | Austin Schmadeke | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-04-19 |
| 1548726128 | Krista Switzer | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-02-19 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| Find all providers in zip 95469 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | POTTER VALLEY |
| Zip Code | 95469 |
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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.