Keystone Therapy and Training Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEYSTONE THERAPY AND TRAINING SERVICES INC

Practice address

4415 Sonoma Hwy Ste a
Santa Rosa, CA 95409-4165

Phone

(707) 327-0909

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Erica Bosque, LCSWNPI 1356824189

Title

Licensed Clinical Social Worker

Phone

(707) 327-0909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Erica Joeverley Bosque, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
  • NPI 1356824189
  Medicare reassignment NPD Authorized official
• Natasha Okhuoya

  • Clinical Social Worker
  • Santa Rosa, CA
  • NPI 1124859897
  NPD
• Danielle Marie Parra

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1922752161
  NPD
• Terri Hamilton-Gahart, PH.D.

  • Psychologist
  • Santa Rosa, CA
  • NPI 1629096706
  NPD (past)
• Grayson Thompson, LMFT 160044

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1578254512
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1952057598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-327-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-327-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE THERAPY AND TRAINING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BOSQUE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "707-327-0909",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta P Kestler, DC
• Myles Julian Ketchum, M.D., PH.D.
• Dana K Kettmann, R.D., C.D.E.
• Jennifer Kettmann
• John Joseph Keturi, RNFA
• Leilani Juliza Khaleck
• Daniel Aman-Alfy Khaleel
• Zaineh Khalil, FNP-BC
• Jennifer Jeannine Khamda
• Jahanzeb Ali Khan, MD

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.