Active NPI
Consonus Healthcare
- Physical Disabilities Residential Treatment Facility
- Santa Rosa, CA
National Provider Identifier
1053782623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- OTA1007
- Legal business name
- CONSONUS HEALTHCARE
- Practice address
- 684 Benicia Dr
Santa Rosa, CA 95409-3058 - Phone
- (707) 538-0152
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Constance Robinson, ASSOCIATES DEGREE
- Title
- Certified Occupational Therapist
- Phone
- (707) 228-3085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | OTA1007 | CA | Primary |
Addresses
Primary practice location
684 Benicia Dr
Santa Rosa, CA 95409-3058
Mailing address
2053 Cooper Dr
Santa Rosa, CA 95404-5683
Phone (707) 228-3085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA 1007 | Other | CA | CA BOARD OF OCCUPATIONAL THERAPY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1053782623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2053 COOPER DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045683",
"telephone_number": "707-228-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 BENICIA DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954093058",
"telephone_number": "707-538-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSONUS HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "707-228-3085",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ASSOCIATES DEGREE"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "CA",
"license": "OTA1007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "OTA 1007",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.