SENECA FAMILY OF AGENCIES


Address: 365 Kuck Ln, Petaluma, CA 94952-9606
Phone: 5103171444

SENECA FAMILY OF AGENCIES (NPI# 1487169413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487169413
Entity Type Organization
Organization Name SENECA FAMILY OF AGENCIES
Other Organization Name SENECA COMPASS - PETALUMA
Practice Address 365 Kuck Ln
Petaluma
CA 94952-9606
Mailing Address 2275 Arlington Dr
San Leandro
CA 94578-1132
Practice Telephone 5103171444
Mailing Telephone 5103171444
Enumeration Date 2017-12-13
Last Update Date 2017-12-13
Authorized Official Name SANDY HOBSON (QUALITY ASSURANCE DIRECTOR)
Authorized Official Telephone 5107255727
Is Organization Subpart Y
Parent Organization Name SENECA FAMILY OF AGENCIES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 0015 05

Other Provider/Organization Names

Other Name Type Code
Seneca Compass - Petaluma Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 365 KUCK LN
City PETALUMA
State CA
Zip Code 94952-9606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528294386 Lenka Schroeder Marriage & Family Therapist 365 Kuck Ln, Petaluma, CA 94952-9606 2009-06-08
1326412099 Seneca Family of Agencies Community/Behavioral Health 365 Kuck Ln, Petaluma, CA 94952 2015-11-18
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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043866817 Seneca Family of Agencies Residential Treatment Facility, Emotionally Disturbed Children 3710 Bodega Ave, Petaluma, CA 94952-8015 2019-08-16

Providers in the same taxonomy and state

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
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Competitor

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City PETALUMA
Zip Code 94952

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Dataset Information

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.

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