Organization Active NPI

Ananda Institute

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1447309554
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.