NPIMap

Organization Active NPI

Remi Vista Services for Probation Youth

  • Community/Behavioral Health Agency
  • Crescent City, CA
National Provider Identifier
1700119385
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REMI VISTA SERVICES FOR PROBATION YOUTH
Practice address
206 Williams Dr # 2
Crescent City, CA 95531
Phone
(707) 464-4349
Fax
(707) 464-4572
NPI assigned
Sep 14, 2009
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Tracey Jo MonsonNPI 1336893940
Title
Billing Administrator
Phone
(530) 245-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

206 Williams Dr # 2
Crescent City, CA 95531

Mailing address

PO Box 494100
Redding, CA 96049-4100
Phone (530) 245-5805

National Provider Directory

National Provider Directory
Tax ID family
Remi Vista Services for Probation Youth11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

206 Williams Dr
#2
Crescent City, CA 95531
Phone (707) 464-4349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1700119385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960494100",
            "telephone_number": "530-245-5805",
            "fax_number": "530-245-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WILLIAMS DR # 2",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-464-4349",
            "fax_number": "707-464-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMI VISTA SERVICES FOR PROBATION YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "530-245-5808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.