Ryan Gene Cleveringa

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

406 Sunrise Ave Ste 300
Roseville, CA 95661-4144

Phone

(916) 783-5207

NPI assigned

Feb 22, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sierra Mental Wellness Group

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1407230329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1003612714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614144",
            "telephone_number": "916-783-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614144",
            "telephone_number": "916-783-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 McMillan Ave Ste 164",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934016768",
            "country_code": "US",
            "telephone_number": "805-439-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVERINGA",
        "first_name": "RYAN",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Clemens, PH.D.
• Samantha Rae Clemens, LVN
• Enrique Gabriel Goce Clemente
• Meriniza Manera Clemente
• Lynn Michele Cleveland-Hinkley, LCSW
• Debra Clifton
• Kathleen Agnes Clifton, MS CCC-SLP
• Hannah Clyde
• Jan Coad, PHN/RN
• Meilani Marie Cobb

• Case Manager/Care Coordinator in Roseville, CA
• Providers in Roseville, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.