Redeemer Lutheran Church

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC34206 Issued in CA

Legal business name

REDEEMER LUTHERAN CHURCH

Practice address

468 Grand St
Redwood City, CA 94062-2062

Phone

(650) 366-7882

Fax

(650) 366-5898

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold S Draeger, MFTNPI 1750812772

Title

Director of Counseling, Sr. Pastor

Phone

(650) 366-7882

Specialties & licenses 1

Addresses

Tax ID family

Redeemer Lutheran Church2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Redeemer Lutheran Church

  • Voluntary or Charitable Agency
  • Redwood City, CA
  • NPI 1801035464
  NPD tax ID

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.

• Harold Draeger

  • Marriage & Family Therapist
  • Redwood City, CA
  • NPI 1750812772
  NPD (past) Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1467627034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 GRAND ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622062",
            "telephone_number": "650-366-7882",
            "fax_number": "650-366-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 GRAND ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622062",
            "telephone_number": "650-366-7882",
            "fax_number": "650-366-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMER LUTHERAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "DRAEGER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING, SR. PASTOR",
        "authorized_official_telephone_number": "650-366-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC34206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saskia Ashlen Rechin
• Lilian Elizabeth Recinos-Vides
• Adhikari Varaprasad Reddy, MD
• Radhika Reddy, PH.D.
• Raju Y Reddy, DDS
• Redeemer Lutheran Church
• Redwood City Endoscopy Suite LP
• Redwood City School District
• Redwood Pulmonary Medical Associates a Medical Corporation
• Redwood Shores Chiropractic

• Community/Behavioral Health Agency in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.