Red Road Treatment, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

430086AN Issued in CA

Legal business name

RED ROAD TREATMENT, INC

Practice address

421 N 13TH St
San Jose, CA 95112-1720

Phone

(650) 703-9185

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Dave Thorne, CSC

Title

Clinical Supervisor

Phone

(650) 703-9185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1659818441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N 13TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121720",
            "telephone_number": "650-703-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N 13TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121720",
            "telephone_number": "650-703-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROAD TREATMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "650-703-9185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "430086AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura-Ashley Recio, PSY
• Michelle Renee Record, MD
• Recovery Connections Treatment Services
• Brian Joseph Rector, M. A., LMFT
• Louisa Cheung Rector, PHYSICAL THERAPIST
• Anitha Reddi, M.D,
• Sridhar Reddi, MD
• Prashanthi G. Reddy, MD
• Thirupathi K Reddy, MD
• Usha Y Reddy, D.M.D.

• Substance Abuse Rehabilitation Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.