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1370 IN CUSTODY PROGRAM
NPI 1164820874
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Rosa, CA

Active since December 11, 2014
2777 VENTURA AVE, SANTA ROSA, CA 95403(707) 565-1492 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1370 In Custody Program NPPES

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

1370 IN CUSTODY PROGRAM (NPI 1164820874) is a healthcare organization registered as a mental health (including community mental health center) in Santa Rosa, California and active in the NPI registry since December 2014. The organization lists Diana Stornetta, Supervising Accountant, as its authorized official.

NPPES Registry Identity

NPI1164820874
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDEPARTMENT OF HEALTH
Location Address2777 VENTURA AVESanta Rosa, CA 95403-2226
Mailing Address2777 Ventura AveSanta Rosa, CA 95403-2226 · (707) 565-1492
Phone(707) 565-1492
Organization SubpartYesParent: County Of Sonoma
Authorized OfficialDiana StornettaSupervising Accountant · (707) 565-4833
Enumeration DateDecember 11, 2014
Last NPPES UpdateJanuary 16, 2015
✔ NPI 1164820874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2777 VENTURA AVE, Santa Rosa, CA 95403
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Other Names 1

Other Name1370 In Custody Program

Other Providers at the Same Location NPPES 12

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

JO WOODRUFF BENWELL
Marriage & Family Therapist
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-1492
COUNTY OF SONOMA
Clinic/Center (Prison Health)
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-8831
KATHERINE DONOHOE
Counselor (Mental Health)
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-1492
KATHRYN ANN CAPETO
Social Worker (Clinical)
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-1492
ERIN MICHAEL MILLER CADC-III
Counselor (Addiction (Substance Use Disorder))
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-3316
MICHAEL E ROBINSON
Counselor
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 579-7786
MR. THOMAS NELSON
Nurse Practitioner
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-1400
DR. RONNI ELISE BROWN DDS
Dentist
2777 VENTURA AVE
SANTA ROSA, CA 95403
Sonoma County (707) 565-1446

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 Department Of Health's NPI number?

The NPI number for Department Of Health is 1164820874. It was assigned to this organization in the NPPES registry on December 11, 2014. The provider is also known as 1370 In Custody Program.

Where is Department Of Health located?

Department Of Health is located at 2777 Ventura Ave, Santa Rosa, CA 95403. The listed phone number is (707) 565-1492.

What is Department Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Department Of Health was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.