NPIMap

Organization Active NPI

Progress Ranch Treatment Services for Children

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Davis, CA
National Provider Identifier
1285304592
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
PROGRESS RANCH TREATMENT SERVICES FOR CHILDREN
Practice address
2725 Loyola Dr
Davis, CA 95618-1554
Phone
(530) 753-2566
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Steven Earl Elson, PHD
Title
Interim Executive Director
Phone
(530) 753-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

2725 Loyola Dr
Davis, CA 95618-1554

Mailing address

PO Box 1287
Davis, CA 95617-1287

Other identifiers 1

IdentifierTypeStateIssuer
570304441OtherCACALIFORNIA DEPARTMENT OF SOCIAL SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Progress Ranch Treatment Services for Children6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1285304592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956171287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 LOYOLA DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956181554",
            "telephone_number": "530-753-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS RANCH TREATMENT SERVICES FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "ELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-753-2566",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "570304441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.