The Ceres Community Project

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE CERES COMMUNITY PROJECT

Practice address

7351 Bodega Ave
Sebastopol, CA 95472-3727

Phone

(707) 829-5833

Fax

(707) 324-3828

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By 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. Cathryn Elizabeth Couch, MBA

Title

Chief Executive Officer

Phone

(707) 829-5833

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet Wettle, RDN

  • Registered Dietitian
  • Sebastopol, CA
  • NPI 1477414852
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1235722026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1562",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731562",
            "telephone_number": "707-829-5833",
            "fax_number": "707-324-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 BODEGA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723727",
            "telephone_number": "707-829-5833",
            "fax_number": "707-324-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CERES COMMUNITY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-829-5833",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.