Active NPI
Ananda Institute
- Community/Behavioral Health Agency
- Santa Rosa, CA
National Provider Identifier
1447309554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ANANDA INSTITUTE
- Practice address
- 401 S a St
Santa Rosa, CA 95401-8518 - Phone
- (707) 544-4441
- Fax
- (707) 544-4492
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Anthony Fraga, PSY.D
- Title
- Clinical Director
- Phone
- (707) 544-4441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
401 S a St
Santa Rosa, CA 95401-8518
Mailing address
401 S a St
Santa Rosa, CA 95401-8518
Phone (707) 544-4441
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1447309554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S A ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954018518",
"telephone_number": "707-544-4441",
"fax_number": "707-544-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S A ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954018518",
"telephone_number": "707-544-4441",
"fax_number": "707-544-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANANDA INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "FRAGA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "707-544-4441",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.