NPIMap

Organization Active NPI

Progress Foundation

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1679025472
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
496803654 Issued in CA
Legal business name
PROGRESS FOUNDATION
Practice address
1120 Gordon LN
Santa Rosa, CA 95404-5636
Phone
(707) 255-9028
Fax
(707) 255-3715
NPI assigned
Oct 27, 2016
Organization subpart
Yes
Parent organization
PROGRESS FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Dr. Bernadette Santiago Navarro-Simeon, PHD
Title
Director of Clinical Administration
Phone
(415) 861-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 496803654 CA Primary

Addresses

Primary practice location

1120 Gordon LN
Santa Rosa, CA 95404-5636

Mailing address

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other identifiers 1

IdentifierTypeStateIssuer
49GH5MedicaidCA

Other names 1

  • Harstad House Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL progressfoundation.org

National Provider Directory

National Provider Directory
Tax ID family
Progress Foundation19 organizations share this tax ID, including this one
Part of
Progress Foundation

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1679025472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025144",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 GORDON LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045636",
            "telephone_number": "707-255-9028",
            "fax_number": "707-255-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESS FOUNDATION",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "NAVARRO-SIMEON",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL ADMINISTRATION",
        "authorized_official_telephone_number": "415-861-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "496803654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49GH5",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "progressfoundation.org",
            "affiliation": "N",
            "address_1": "1120 Gordon Ln",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954045636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harstad House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harstad House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.