NPIMap

Organization Active NPI

National Psychiatric Care and Rehabilitation Services

  • Psychiatric Residential Treatment Facility
  • Walnut Creek, CA
National Provider Identifier
1154988442
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES
Practice address
2181 Tice Valley Blvd
Walnut Creek, CA 94595-2505
Phone
(415) 812-2955
NPI assigned
May 22, 2019
Organization subpart
Yes
Parent organization
NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Alex Rudakov
Title
Secretary
Phone
(408) 786-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

2181 Tice Valley Blvd
Walnut Creek, CA 94595-2505

Mailing address

2880 Zanker Rd Ste 106
San Jose, CA 95134-2121
Phone (415) 812-2955

National Provider Directory

National Provider Directory
Tax ID family
National Psychiatric Care and Rehabilitation Services8 organizations share this tax ID, including this one
Part of
National Psychiatric Care and Rehabilitation Services

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1154988442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342121",
            "telephone_number": "415-812-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952505",
            "telephone_number": "415-812-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL PSYCHIATRIC CARE AND REHABILITATION SERVICES",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "RUDAKOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "408-786-1035"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

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