NPIMap

Organization Active NPI

Seneca Family of Agencies

Doing business as Seneca Compass - Bodega

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Petaluma, CA
National Provider Identifier
1043866817
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SENECA FAMILY OF AGENCIES
Doing business as
Seneca Compass - Bodega
Practice address
3710 Bodega Ave
Petaluma, CA 94952-8015
Phone
(510) 317-1444
NPI assigned
Aug 16, 2019
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Sandy Hobson
Title
Quality Assurance Director
Phone
(510) 725-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3710 Bodega Ave
Petaluma, CA 94952-8015

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Seneca Compass - Bodega Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seneca Family of Agencies148 organizations share this tax ID, including this one
Part of
Seneca Family of Agencies

Organizations with this tax ID in the same state 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1043866817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 BODEGA AVE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949528015",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "510-725-5727"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Compass - Bodega",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.