NPIMap

Organization Active NPI

Rite of Passage Adolescent Treatment Centers and Schools Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • San Andreas, CA
National Provider Identifier
1376003277
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
Practice address
10400 Fricot City Rd
San Andreas, CA 95249-9642
Phone
(209) 736-4500
NPI assigned
Mar 25, 2019
Organization subpart
Yes
Parent organization
RITE OF PASSAGE ATHLETIC TRAINING CENTERS & SCHOOLS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Rusty E. Alexander
Title
Business Managing Director
Phone
(775) 392-2639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

10400 Fricot City Rd
San Andreas, CA 95249-9642

Mailing address

2560 Business Pkwy Ste B
Minden, NV 89423-8961
Phone (775) 392-2657

Other names 1

  • Sierra Ridge Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Youth Services Center31 organizations share this tax ID, including this one
Part of
Ridgeview Youth Services Center

Other organizations with this tax ID 30

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

View all 30

Locations

10400 Fricot City Rd
San Andreas, CA 95249
Phone (209) 736-1800

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1376003277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238961",
            "telephone_number": "775-392-2657",
            "fax_number": "775-392-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 FRICOT CITY RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499642",
            "telephone_number": "209-736-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RITE OF PASSAGE ATHLETIC TRAINING CENTERS & SCHOOLS, INC.",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BUSINESS MANAGING DIRECTOR",
        "authorized_official_telephone_number": "775-392-2639"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Ridge Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Andreas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.