NPIMap

Organization Active NPI

Tapestry Family Services, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Ukiah, CA
National Provider Identifier
1578093928
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
TAPESTRY FAMILY SERVICES, INC.
Practice address
376 E Gobbi St Ste B
Ukiah, CA 95482-5511
Phone
(707) 472-6453
NPI assigned
Jun 19, 2017
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TAPESTRY FAMILY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Nicole JohnsNPI 1801959143
Title
Clinical Director
Phone
(707) 463-3300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

376 E Gobbi St Ste B
Ukiah, CA 95482-5511

Mailing address

290 E Gobbi St
Ukiah, CA 95482-5559
Phone (707) 463-3300

Other names 1

  • Med Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Tapestry Family Services10 organizations share this tax ID, including this one
Part of
Tapestry Family Services

Other organizations with this tax ID 9

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

Locations

290 E Gobbi St
Ukiah, CA 95482
Phone 7074633300 ext. 103

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1578093928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E GOBBI ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825559",
            "telephone_number": "707-463-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E GOBBI ST STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825511",
            "telephone_number": "707-472-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAPESTRY FAMILY SERVICES, INC.",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "707-463-3300"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Management",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Med Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.