Redwood Coaching and Consulting LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

REDWOOD COACHING AND CONSULTING LLC

Practice address

603 Hemlock St Ste 2E
Brookings, OR 97415-9429

Phone

(541) 469-4347

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Annamaria Anthony, PHD

Title

Psychologist

Phone

(541) 469-4347

Specialties & licenses 1

Addresses

Other names 1

• Redwood Coaching and Consulting LLC Other name

Locations

Practitioners 1

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

• Ronn Mark Johnson, PH.D.

  • Clinical Psychologist
  • Brookings, OR
  • NPI 1699986000
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1811465172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500, PMB 226",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974157152",
            "telephone_number": "541-469-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HEMLOCK ST STE 2E",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159429",
            "telephone_number": "541-469-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COACHING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ANNAMARIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-469-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Coaching and Consulting LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Redwood Coaching and Consulting LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Pruden
• Alisha Quast, NP
• Deborah Ramirez
• Dawn Renae Rarick
• Holly Rawlings
• Gudrun Reed, M.D.
• Heidi Marie Rich, REGISTERED NURSE
• Marcia Ellen Rickard, NP
• Rigpa Shunya
• Micheal Rodgers

• Psychologist in Brookings, OR
• Providers in Brookings, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.