Dejuan Marcelos Redwood, CATC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1710670 Issued in CA

Practice address

42 McLea CT
San Francisco, CA 94103-4416

Phone

(415) 503-3071

Fax

(415) 252-8577

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1730607987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MODOC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124121",
            "telephone_number": "415-596-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MCLEA CT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034416",
            "telephone_number": "415-503-3071",
            "fax_number": "415-252-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWOOD",
        "first_name": "DEJUAN",
        "middle_name": "MARCELOS",
        "credential": "CATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1710670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redmint Two, LLC
• Eleisha Tanya Redmond
• Sarah Nicole Redmond
• Leinalyn Reduque, COTA
• Redwood Psychology & Consultation
• Julian Oliver Redwood, M.F.T
• Carlin Reed-Bippen
• Alison Reed, M.D.
• Charlene Nicholle Reed
• Charles Garner Reed, PH.D.

• Addiction (Substance Use Disorder) Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.