| Groups Recover Together | |
|
376 Hartnell Ave Ste A Redding CA 96002-1881 | |
| (800) 683-8313 | |
| Not Available |
| Full Name | Groups Recover Together |
|---|---|
| Speciality | Clinic/Center |
| Location | 376 Hartnell Ave Ste A, Redding, California |
| Authorized Official Name and Position | Colleen Nicewicz (CEO) |
| Authorized Official Contact | 4132813035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Groups Recover Together 111 S Bedford St Ste 205 Burlington MA 01803-5145 Ph: (512) 439-3547 | Groups Recover Together 376 Hartnell Ave Ste A Redding CA 96002-1881 Ph: (800) 683-8313 |
| NPI Number | 1447758966 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Medicare PECOS PAC ID | 8123484508 |
|---|---|
| Medicare Enrollment ID | O20230510002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447758966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruth A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750494191 PECOS PAC ID: 7618947284 Enrollment ID: I20040729001496 |
| Provider Name | Charles F Carpenter |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1457520462 PECOS PAC ID: 7810154283 Enrollment ID: I20120220000288 |
| Provider Name | Mercedes I Patee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174678742 PECOS PAC ID: 3971744343 Enrollment ID: I20130726000654 |
| Provider Name | Amberlee Montarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300344 PECOS PAC ID: 5496063323 Enrollment ID: I20160621002561 |
| Provider Name | Michelle Joyce Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346663820 PECOS PAC ID: 4385861152 Enrollment ID: I20210408002496 |
| Provider Name | Jacob Crothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336433085 PECOS PAC ID: 0244459527 Enrollment ID: I20230530002341 |
| Provider Name | Samantha Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356903082 PECOS PAC ID: 1759619554 Enrollment ID: I20230719003333 |
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