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SCOTT KERKSIECK
NPI 1043513138
Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA

Active since December 10, 2010
714 W MAIN ST, GRASS VALLEY, CA 95945(530) 477-9800(530) 477-9803 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Kerksieck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT KERKSIECK (NPI 1043513138) is an individual residential treatment facility, emotionally disturbed children provider in Grass Valley, California and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1043513138
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameSCOTT KERKSIECK
Location Address714 W MAIN STGrass Valley, CA 95945-6410
Mailing Address714 W Main StGrass Valley, CA 95945-6410 · (530) 477-9800 · Fax (530) 477-9803
Phone(530) 477-9800
Fax(530) 477-9803
Sole ProprietorYes
Enumeration DateDecember 10, 2010
✔ NPI 1043513138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
714 W MAIN ST, Grass Valley, CA 95945
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER SALTER
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
PAUL GRICE
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
CYNTHIA L PETTIJOHN
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
BRYAN LASSEGARD
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
ROBERT ALEXANDER ONTIVEROS
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
JENNIFER ANN MACDONELL
Marriage & Family Therapist
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
NORMA P SAENZ
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800
SABRIYA ADEL MUIR
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945
Nevada County (530) 477-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Kerksieck's NPI number?

The NPI number for Scott Kerksieck is 1043513138. It was assigned to this individual provider in the NPPES registry on December 10, 2010.

Where is Scott Kerksieck located?

Scott Kerksieck practices at 714 W Main St, Grass Valley, CA 95945. The listed phone number is (530) 477-9800.

What is Scott Kerksieck's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Scott Kerksieck was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.