Alpha Recovery Centers LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALPHA RECOVERY CENTERS LLC

Practice address

11171 Presilla Rd
Santa Rosa Valley, CA 93012-8877

Phone

(848) 456-9115

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Kathryn Maccutcheon

Title

Owner

Phone

(848) 456-9115

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1407458292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11171 PRESILLA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930128877",
            "telephone_number": "848-456-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11171 PRESILLA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930128877",
            "telephone_number": "848-456-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "MACCUTCHEON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-456-9115"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Anderson, PA
• Jeremy Michael Bartel, M.S., CCC-A, CNIM
• Blue Note Telehealth
• Nancy Redman Borelli, MA, CCC-SLP
• Emma Elizabeth Bowers, AMFT

• Substance Abuse Rehabilitation Facility in Santa Rosa Valley, CA
• Providers in Santa Rosa Valley, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.