Organization Active NPI

Rd Family Therapy Inc.

Doing business as RD Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, CA
National Provider Identifier
1417580044
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RD FAMILY THERAPY INC.
Doing business as
RD Therapy
Practice address
1150 Brickyard Cove Rd Unit B12
Richmond, CA 94801-4181
Phone
(650) 720-5263
Fax
(510) 788-5044
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mrs. Ryann Lane Desouza, LMFTNPI 1043493042
Title
Ceo
Phone
(650) 720-5263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1150 Brickyard Cove Rd Unit B12
Richmond, CA 94801-4181

Mailing address

1150 Brickyard Cove Rd Unit B12
Richmond, CA 94801-4181
Phone (650) 720-5263

Other identifiers 1

IdentifierTypeStateIssuer
1043493042OtherCAOTHER INSURERS

Other names 1

  • RD Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ryanndesouza@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1150 Brickyard Cove Rd
Unit B12
Richmond, CA 94801
Phone (650) 720-5263

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1417580044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRICKYARD COVE RD UNIT B12",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948014181",
            "telephone_number": "650-720-5263",
            "fax_number": "510-788-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BRICKYARD COVE RD UNIT B12",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948014181",
            "telephone_number": "650-720-5263",
            "fax_number": "510-788-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "DESOUZA",
        "authorized_official_first_name": "RYANN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-720-5263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURERS",
            "identifier": "1043493042",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ryanndesouza@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "1150 Brickyard Cove Rd Unit B12",
            "city": "Richmond",
            "state": "CA",
            "country_code": "US",
            "postal_code": "948014181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RD Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.