| Redwood Community Services, Inc | |
|
631 S Orchard Ave Ukiah CA 95482-5011 | |
| (707) 472-2922 | |
| (707) 462-5172 |
| Full Name | Redwood Community Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 631 S Orchard Ave, Ukiah, California |
| Authorized Official Name and Position | Victoria Jerusha Kelly (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7074672010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Community Services, Inc Po Box 2077 631 S. Orchard St. Ukiah CA 95482-2077 Ph: (707) 467-2010 | Redwood Community Services, Inc 631 S Orchard Ave Ukiah CA 95482-5011 Ph: (707) 472-2922 |
| NPI Number | 1831237015 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Medicare PECOS PAC ID | 7618263187 |
|---|---|
| Medicare Enrollment ID | O20160908002886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831237015 | NPI | - | NPPES |
| 01418707 | Medicaid | CA | |
| 01863308 | Medicaid | CA | |
| 12AA | Other | CA | HUMBOLDT CO PROVIDER NO |
| 2392 | Other | CA | MENDOCINO CO MH SITE # |
| 49EE1 | Other | CA | SONOMA CO PROVIDER NO |
| Provider Name | Rebecca S Timme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780848325 PECOS PAC ID: 3870743594 Enrollment ID: I20121015000534 |
| Provider Name | Carmen J Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730229675 PECOS PAC ID: 9234425745 Enrollment ID: I20160914001720 |
| Provider Name | Christina Irene Offill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437433497 PECOS PAC ID: 1456612522 Enrollment ID: I20180306002073 |
Adventist Health Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr Ste 101, Ukiah, CA 95482 Phone: 707-463-7428 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Mendocino Family & Youth Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 S State St, #107, Ukiah, CA 95482 Phone: 707-463-4915 Fax: 707-463-4917 | |
Substance Use Disorders Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 S. State Street, Ukiah, CA 95482 Phone: 707-472-2637 Fax: 707-472-2657 | |
Bridging World Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Perkins St, Ukiah, CA 95482 Phone: 707-391-6400 Fax: 707-634-1416 | |
Interpersonal Skills Training Center (istc) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Orr Springs Rd, Ukiah, CA 95482 Phone: 707-462-5056 Fax: 707-462-5205 | |
Serene Health Ipa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 W Standley St Ste A, Ukiah, CA 95482 Phone: 844-737-3638 |