Active NPI
Vanessa Inez Rodarte
- Behavior Technician
- San Francisco, CA
National Provider Identifier
1972128353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 139 Hugo St Apt 3
San Francisco, CA 94122-2760 - Phone
- (310) 691-3644
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
139 Hugo St Apt 3
San Francisco, CA 94122-2760
Mailing address
607 Valley Forge Way Apt 2
San Jose, CA 95117-3663
Other practice location 1
607 Valley Forge Way Apt 2
San Jose, CA 95117-3663
Phone (408) 482-8576
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Vrodarte@adaptbehavioralcollective.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt: a Behavioral Collective, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- San Francisco, CA
- NPI 1508226267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1972128353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 VALLEY FORGE WAY APT 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951173663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 HUGO ST APT 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222760",
"telephone_number": "310-691-3644"
}
],
"practiceLocations": [
{
"address_1": "607 Valley Forge Way Apt 2",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951173663",
"country_code": "US",
"telephone_number": "408-482-8576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODARTE",
"first_name": "VANESSA",
"middle_name": "INEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Vrodarte@adaptbehavioralcollective.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "139 Hugo St Apt 3",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941222760",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.