NPIMap

Organization Active NPI

Saint John's Program for Real Change

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1467823674
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY 24140 Issued in CA
Legal business name
SAINT JOHN'S PROGRAM FOR REAL CHANGE
Practice address
8401 Jackson Rd
Sacramento, CA 95826-3904
Phone
(916) 453-1482
NPI assigned
Oct 14, 2015
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Scott Richards, ED. D.
Title
Chief Executive Officer
Phone
(917) 751-1257

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Respite Care 385H00000X
Community/Behavioral Health Agency 251S00000X PSY 24140 CA Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

8401 Jackson Rd
Sacramento, CA 95826-3904

Mailing address

2443 Fair Oaks Blvd
Sacramento, CA 95825-7684
Phone (916) 453-1482

National Provider Directory

National Provider Directory

Locations

8401 Jackson Rd
Sacramento, CA 95826
Phone (916) 453-1482

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1467823674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FAIR OAKS BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257684",
            "telephone_number": "916-453-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 JACKSON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263904",
            "telephone_number": "916-453-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN'S PROGRAM FOR REAL CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-751-1257",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY 24140",
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.