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REDWOOD COMMUNITY SERVICES INC NPI 1831237015


NPI Information

NPI: 1831237015
Provider Name: REDWOOD COMMUNITY SERVICES, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
631 S ORCHARD AVE
UKIAH, CA
ZIP 95482
Phone: (707) 472-2922
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REDWOOD COMMUNITY SERVICES, INC is a community behavioral health in Ukiah, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. REDWOOD COMMUNITY SERVICES, INC NPI is 1831237015. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

631 S ORCHARD AVE
UKIAH, CA
ZIP 95482-011
Phone: (707) 472-2922
Fax: (707) 462-5172

The provider's authorized official is Victoria Jerusha Kelly .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 467-2010.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103TR0400XPsychologistRehabilitationNo
41041C0700XSocial WorkerClinicalNo
5171M00000XCase Manager/Care CoordinatorNo
6171W00000XContractorNo
7251300000XLocal Education Agency (LEA)No
8251B00000XCase ManagementNo
9251S00000XCommunity/Behavioral HealthYes
10252Y00000XEarly Intervention Provider AgencyNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112AAOTHERCALIFORNIAHUMBOLDT CO PROVIDER NO
201418707MEDICAIDCALIFORNIA
349EE1OTHERCALIFORNIASONOMA CO PROVIDER NO
42392OTHERCALIFORNIAMENDOCINO CO MH SITE #
501863308MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.