Organization Active NPI

Red Leaf Psychology, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
National Provider Identifier
1942073564
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RED LEAF PSYCHOLOGY, INC.
Practice address
2110 K St Ste 100
Sacramento, CA 95816-4921
Phone
(405) 206-3862
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Brandi Nicole Hawk, PHD
Title
Ceo
Phone
(484) 333-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2110 K St Ste 100
Sacramento, CA 95816-4921

Mailing address

2110 K St Ste 100
Sacramento, CA 95816-4921
Phone (405) 206-3862

National Provider Directory

National Provider Directory

Locations

2110 K St
Ste 100
Sacramento, CA 95816
Phone (405) 206-3862

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1942073564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 K ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164921",
            "telephone_number": "405-206-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 K ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164921",
            "telephone_number": "405-206-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LEAF PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-333-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.