NEW DIRECTIONS ADOLESCENT SERVICES, INC (NPI# 1588706790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706790 |
| Entity Type | Organization |
| Organization Name | NEW DIRECTIONS ADOLESCENT SERVICES, INC |
| Practice Address |
3641 Stony Point Rd Santa Rosa CA 95407-8080 |
| Mailing Address |
Po Box 1819 Rohnert Park CA 94927-1819 |
| Practice Telephone | 7075853700 |
| Mailing Telephone | 7075853700 |
| Mailing Fax Number | 7075853883 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN POWERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7075853700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
3641 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942341631 | Kristen Jennifer Rhoades | Marriage & Family Therapist | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-02-08 |
| 1790038560 | California Parenting Institute | Psychologist | 3641 Stony Point Rd, Santa Rosa, CA 95407 | 2012-10-18 |
| 1629359500 | Sari Lynne Pace | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2011-09-06 |
| 1689978439 | Jeremy Howard Jensen | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2011-01-07 |
| 1083947501 | Rochelle Ann Henderson | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2009-09-15 |
| 1104075506 | Elena Chieffo | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2008-09-10 |
| 1396992046 | Rosemary Laura Melchor | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2008-08-25 |
| 1760678866 | Lea Mazzei | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-21 |
| 1710173992 | Bridgette Bartel | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-20 |
| 1972799468 | Maureen Elizabeth Crane | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962587964 | Northern California Center for Well-being | Voluntary or Charitable | 101 Brookwood Ave, Suite A, Santa Rosa, CA 95404 | 2006-10-26 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on NEW DIRECTIONS ADOLESCENT SERVICES, 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.