Sonoma Recovery Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SONOMA RECOVERY SERVICES, LLC

Practice address

11207 Valley Ford Rd
Petaluma, CA 94952-3700

Phone

(707) 795-7609

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Wayne C Thurston, PSY.D.

Title

Managing Member/Executive Director

Phone

(707) 795-7609

Specialties & licenses 1

Addresses

Other names 1

• Olympia House Other name

Locations

Practitioners 1

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

• Christopher John Barr, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
  • NPI 1316476328
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1760732002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 VALLEY FORD RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523700",
            "telephone_number": "707-795-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 VALLEY FORD RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523700",
            "telephone_number": "707-795-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-795-7609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wade M Songer
• Sonoma Hills Physical Therapy
• Sonoma Hills Physical Therapy, Inc.
• Sonoma Home Health Care Inc
• Sonoma Pain Management, Inc
• Sonoma Therapeutic Arts and Education, a Psychological Corporation
• Emani Ann Sosa
• Kaitlin Elizabeth Soule, LMFT
• Priya Clarke Sowerby
• Timothy M Sowerby, MD

• Substance Abuse Rehabilitation Facility in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.