COMMUNITY SUPPPORT NETWORK (NPI# 1831219989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831219989 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPPORT NETWORK |
| Practice Address |
634 Pressley St Santa Rosa CA 95404-5526 |
| Mailing Address |
1410 Guerneville Rd 14 Santa Rosa CA 95403-7231 |
| Practice Telephone | 7075736955 |
| Practice Fax Number | 7075438176 |
| Mailing Telephone | 7075750979 |
| Mailing Fax Number | 7075736968 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | MRS. RITA LARSON (DIRECTOR OF SOCIAL REHABILITATION) |
| Authorized Official Telephone | 7075750979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| Street Address |
634 PRESSLEY ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958540 | Dustin Phillips | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2020-09-30 |
| 1861005761 | David Lang | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2020-08-28 |
| 1679181259 | Christina Ellen Gillion | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2020-07-20 |
| 1245858331 | Kaela Patricia O'brien | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2020-07-06 |
| 1124659990 | Katherine Kellie Slater | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2020-01-30 |
| 1720625056 | Thomas Richard Hanson | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2019-12-05 |
| 1710485842 | Michael Andrew Deju | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2018-01-23 |
| 1932615812 | Michael Harold Nunnally | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2017-12-14 |
| 1407365968 | Randi Adriana Withers | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2017-09-27 |
| 1639691231 | Angela Ward | Counselor | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2017-07-14 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831506658 | Csn- Bridges | Community Based Residential Treatment Facility, Mental Illness | 1115 Deturk Ave, Santa Rosa, CA 95404-5803 | 2014-07-14 |
| 1245502707 | Progress Foundation | Community Based Residential Treatment Facility, Mental Illness | 3371 Parker Hill Rd, Santa Rosa, CA 95404-1732 | 2012-01-30 |
| 1386869246 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 201 S E St, Santa Rosa, CA 95404-4709 | 2007-04-16 |
| 1427272004 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 112 Brown St, Santa Rosa, CA 95404-5007 | 2007-04-13 |
| 1932224227 | Progress Foundation | Community Based Residential Treatment Facility, Mental Illness | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2007-03-19 |
| 1962861369 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2016-02-15 |
| 1962848580 | Victor Treatment Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3164 Condo Ct, Santa Rosa, CA 95403-2557 | 2013-05-22 |
| 1336349398 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2007-07-18 |
| 1881753663 | Victor Treatment Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3164 Condo Ct, Santa Rosa, CA 95403-2557 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 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.