Custom Rehab Network

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CUSTOM REHAB NETWORK

Practice address

451 Aspinwall Dr
Benicia, CA 94510-3902

Phone

(707) 747-5846

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine B Clinehens

Title

Executive Director

Phone

(707) 747-5846

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053433714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ASPINWALL DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103902",
            "telephone_number": "707-746-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ASPINWALL DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103902",
            "telephone_number": "707-747-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM REHAB NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLINEHENS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-747-5846",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cornwall
• Richard Couch, PHD, BCBA-D
• Katherine Jampol Crowe, MFT
• Jerri Curry, PH.D., MFT
• Sharon Cushman, PH.D.
• Cyrus a. Salehi, DDS, Inc. (Solano Endodontic Specialists)
• Melanie Dacanay, OD
• Laura Dalton, M. D.
• Deanna Damasen, LAC
• Daniel S & Ruth D Kalb

• Customized Equipment (DME) in Benicia, CA
• Providers in Benicia, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.