NPIMap

Organization Active NPI

Crestwood Behavioral Health, Inc.

  • Psychiatric Hospital
  • Santa Rosa, CA
National Provider Identifier
1043848831
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
CRESTWOOD BEHAVIORAL HEALTH, INC.
Practice address
7440 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6540
Phone
(707) 639-4696
Fax
(707) 539-6106
NPI assigned
Mar 29, 2020
Organization subpart
Yes
Parent organization
CRESTWOOD BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Michelle Smith
Title
Executive Director Ar and Reimb.
Phone
(209) 955-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

7440 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6540

Mailing address

7440 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6540
Phone (707) 639-4696

Other names 1

  • Sonoma County Healing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crestwood Behavioral Health71 organizations share this tax ID, including this one
Part of
Crestwood Behavioral Health

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

7440 Rancho Los Guilicos Rd
Santa Rosa, CA 95409
Phone (707) 537-6354

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1043848831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 RANCHO LOS GUILICOS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096540",
            "telephone_number": "707-639-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 RANCHO LOS GUILICOS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096540",
            "telephone_number": "707-639-4696",
            "fax_number": "707-539-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRESTWOOD BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AR AND REIMB.",
        "authorized_official_telephone_number": "209-955-2364"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma County Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.