Active NPI
Radically Connected
- Community/Behavioral Health Agency
- Sacramento, CA
National Provider Identifier
1194434837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RADICALLY CONNECTED
- Practice address
- 2108 N St Ste 8494
Sacramento, CA 95816-5712 - Phone
- (310) 421-8397
- NPI assigned
- Nov 21, 2022
- 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
- Ashley Ryan Metoyer, LCSW
- Title
- Sole MBR
- Phone
- (310) 421-8397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2108 N St Ste 8494
Sacramento, CA 95816-5712
Mailing address
2108 N St Ste 8494
Sacramento, CA 95816-5712
Phone (310) 421-8397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1194434837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE 8494",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "310-421-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N ST STE 8494",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "310-421-8397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADICALLY CONNECTED",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "METOYER",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "310-421-8397",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Meghann Radcliff, PHARMD
- Tamika Radcliffe
- Radiant Wellness & Recovery, a Professional Nursing Corporation
- Radical and Tender Care Companion LLC
- Radical Hope Center for Psychotherapy, a Clinical Psychology and Licen
- Faiza Rading, M.D.
- Radiological Associates Medical Group Inc
- Radiological Associates Medical Group, Inc
- Radiological Associates Medical Group, Inc
- Radiological Associates of Sacramento Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.