WAVELENGTHS RECOVERY
NPI 1174146658
Clinic/Center - Rehabilitation, Substance Use Disorder in Petaluma, CA

Active since May 19, 2020
6 PETALUMA BLVD N STE A7, PETALUMA, CA 94952(714) 312-1011 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wavelengths Recovery NPPES

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

WAVELENGTHS RECOVERY (NPI 1174146658) is a healthcare organization registered as a rehabilitation, substance use disorder in Petaluma, California and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Petaluma and lists Warren Boyd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174146658
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameWAVELENGTHS RECOVERY
Location Address6 PETALUMA BLVD N STE A7Petaluma, CA 94952-3027
Mailing Address301 Main St Ste 201Huntington Beach, CA 92648-5171 · (714) 312-1011
Organization SubpartNo
Authorized OfficialWarren BoydCeo · (714) 642-2404
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
NPI 1174146658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
6 PETALUMA BLVD N STE A7, Petaluma, CA 94952

Secondary Practice Location 1

Location 16 Petaluma Blvd N Ste A8Petaluma, CA 94952-3027 · Phone (714) 312-1011

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
6 PETALUMA BLVD N STE A7
PETALUMA, CA 94952

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 Wavelengths Recovery's NPI number?

The NPI number for Wavelengths Recovery is 1174146658. It was assigned to this organization in the NPPES registry on May 19, 2020.

Where is Wavelengths Recovery located?

Wavelengths Recovery is located at 6 Petaluma Blvd N Ste A7, Petaluma, CA 94952. The listed phone number is (714) 312-1011.

What is Wavelengths Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Wavelengths Recovery was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.