Renewed Hope Tribal Health Authority

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RENEWED HOPE TRIBAL HEALTH AUTHORITY

Practice address

690 De Long Ave
Novato, CA 94945-3359

Phone

(707) 463-1454

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Robert Louis Kershner

Title

Manager

Phone

(303) 859-2742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1639925167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 GUNPARK DR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017003",
            "telephone_number": "303-468-0020",
            "fax_number": "303-568-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 DE LONG AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453359",
            "telephone_number": "707-463-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE TRIBAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-859-2742"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Butler Rehder, DPT
• Elizabeth Ann Rehfeld, MFT
• Gabrielle Reif
• Amanda Jo Reiner, DO
• Renew Physical Therapy PC
• Chelsea Rexrode, RD
• Anali Esther Reyes
• Daisy Reynolds
• Bryana Marie Reynoso
• Rosa Reynoza

• Substance Use Disorder Rehabilitation Clinic/Center in Novato, CA
• Providers in Novato, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.