Relationship Center for Change a

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RELATIONSHIP CENTER FOR CHANGE A

Practice address

2455 Bennett Valley Rd Ste C210
Santa Rosa, CA 95404-5671

Phone

(707) 523-8009

NPI assigned

Jul 5, 2013

Organization subpart

No

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

Authorized official

Name

Robert Butler, LCSW

Title

Vice President

Phone

(707) 523-8009

Specialties & licenses 2

Addresses

Other names 1

• Relationship Center For Change A Marriage and Family Therapy PC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Joan Marie Menke, MFT

  • Marriage & Family Therapist
  • Petaluma, CA
  • NPI 1790976645
  NPD
• Jennifer Brazinsky Jones, L.C.S.W.

  • Clinical Social Worker
  • Petaluma, CA
  • NPI 1841622768
  NPD (past)
• Mary Sloan Gorman, LCSW

  • Social Worker
  • Petaluma, CA
  • NPI 1477663573
  NPD (past)
• Rebecca Oaks Stadtner, PH.D.

  • Counseling Psychologist
  • Austin, TX
  • NPI 1992929038
  NPD (past)

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1689014615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 4TH ST",
            "address_2": "#224",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523040",
            "telephone_number": "707-523-8009",
            "fax_number": "707-766-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE C210",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045671",
            "telephone_number": "707-523-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Weller St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949527108",
            "country_code": "US",
            "telephone_number": "707-523-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Bennett Valley Rd Ste C210",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954045671",
            "country_code": "US",
            "telephone_number": "707-523-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELATIONSHIP CENTER FOR CHANGE A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-523-8009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relationship Center For Change A Marriage and Family Therapy PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Relationship Center For Change A Marriage and Family Therapy PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Reinhard, MD
• Erin Reis-Lawrence
• Robin Lynn Reiss, MA, ATR
• Joel M Reiter, M.D.
• Mary Lynn Reiter, LMFT
• Relevare Group Incorporated
• Remedy Hospice Care Inc
• Jennifer Lee Remmers-Wright, MPH, RD, MCHES
• Elijsha McKenzie Remy
• Alice Esther Renaud

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.