Organization Active NPI

Road to Empowerment Restorative Services

  • Case Management Agency
  • Sebastopol, CA
National Provider Identifier
1720804289
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ROAD TO EMPOWERMENT RESTORATIVE SERVICES
Practice address
8125 Whited Rd
Sebastopol, CA 95472-4036
Phone
(707) 200-3686
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Susan Rahman, PHD
Title
Ceo
Phone
(707) 200-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

8125 Whited Rd
Sebastopol, CA 95472-4036

Mailing address

8125 Whited Rd
Sebastopol, CA 95472-4036
Phone (707) 200-3686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1720804289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 WHITED RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724036",
            "telephone_number": "707-200-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 WHITED RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724036",
            "telephone_number": "707-200-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO EMPOWERMENT RESTORATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-200-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.