Redwood Behavioral Health a Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REDWOOD BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION

Practice address

7250 Redwood Blvd Ste 300
Office 349
Novato, CA 94945-3269

Phone

(415) 878-3722

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Theresa Carla JohnsonNPI 1255600581

Title

Owner

Phone

(818) 445-5414

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Carla Negrido Johnson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1255600581
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1619734662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 REDWOOD BLVD STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 REDWOOD BLVD STE 300",
            "address_2": "OFFICE 349",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453269",
            "telephone_number": "415-878-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THERESA CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-445-5414"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall H Chapman MD a Professional Corporation
• Wayne Rapp, R.PH.
• Lance Oscar Rasmussen, DMD INC
• Melissa Gail Razo
• Daniel Rechtschaffen
• Redwood Sleep Center Inc.
• Elizabeth Reed, NP
• Megan Darah Reeves, M.D.
• Philip Reh, LAC
• Rehabcare

• Psychiatric/Mental Health Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.