Individual provider Active NPI

Richard Robert Grunert, CACT 2215167-2

  • Day Training/Habilitation Specialist
  • San Mateo, CA
National Provider Identifier
1023646981
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
2215767-2 Issued in CA
Practice address
2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269
Phone
(650) 670-7714
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2215767-1 CA
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X 2215767-2 CA Primary

Addresses

Primary practice location

2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269

Mailing address

668 Chevy Chase Way
Hayward, CA 94544-7230
Phone (650) 921-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2215767-1CAMDAddiction (Substance Use Disorder) Counselor
2215767-2CAMDDay Training/Habilitation Specialist

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1023646981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 CHEVY CHASE WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447230",
            "telephone_number": "650-921-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ALAMEDA DE LAS PULGAS",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031269",
            "telephone_number": "650-670-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "RICHARD",
        "middle_name": "ROBERT",
        "credential": "CACT 2215167-2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2215767-1",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "2215767-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.