COMMUNITY SUPPORT NETWORK


Address: 634 Pressley St, Santa Rosa, CA 95404-5526
Phone: 7074841326

COMMUNITY SUPPORT NETWORK (NPI# 1962861369) 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) 1962861369
Entity Type Organization
Organization Name COMMUNITY SUPPORT NETWORK
Practice Address 634 Pressley St
Santa Rosa
CA 95404-5526
Practice Telephone 7074841326
Enumeration Date 2016-02-15
Last Update Date 2016-02-15
Authorized Official Name SHARON SHULTS (PROGRAM MANAGER)
Authorized Official Telephone 7074841326
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619276839 Community Support Network Case Management 2749 1st Ave N, St Petersburg, FL 33713-8723 2011-03-28
1396954087 Community Support Network Community Based Residential Treatment Facility, Mental Illness 21 Faye Ct, Petaluma, CA 94952-2202 2007-05-21
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
1922121581 Community Support Network Community Based Residential Treatment Facility, Mental Illness 420 E Cotati Ave, Cotati, CA 94931-4442 2007-04-09
1992828966 Community Support Network Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1550 N. Dutton Ave, Santa Rosa, CA 95401 2007-04-06
1255656609 Community Support Network Community/Behavioral Health 3595 Sullivant Ave, Columbus, OH 43228-2121 2010-03-29
1336349398 Community Support Network Community Based Residential Treatment Facility, Mental Illness 634 Pressley St, Santa Rosa, CA 95404-5526 2007-07-18
1225259179 Community Support Network Case Management 634 Pressley St, Santa Rosa, CA 95403 2007-05-01

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names COMMUNITY SUPPORT NETWORK 8221 Sw Mariners Dr, Wilsonville, OR 97070

Office Location

Street Address 634 PRESSLEY ST
City SANTA ROSA
State CA
Zip Code 95404-5526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831219989 Community Suppport Network Community Based Residential Treatment Facility, Mental Illness 634 Pressley St, Santa Rosa, CA 95404-5526 2007-03-30
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
1831219989 Community Suppport Network Community Based Residential Treatment Facility, Mental Illness 634 Pressley St, Santa Rosa, CA 95404-5526 2007-03-30
1932224227 Progress Foundation Community Based Residential Treatment Facility, Mental Illness 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 2007-03-19
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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SANTA ROSA
Zip Code 95404

Improve Information

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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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