EDWARD HALOMOAN SIAHAAN CTRS
NPI 1205771086
Recreation Therapist in Riverside, CA

Active since April 20, 2026
3933 HARRISON ST, RIVERSIDE, CA 92503(833) 391-0505 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Halomoan Siahaan Ctrs NPPES

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

EDWARD HALOMOAN SIAHAAN CTRS (NPI 1205771086) is an individual recreation therapist in Riverside, California, licensed in California (CTRS32156) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1205771086
Entity TypeIndividualMale
Primary Taxonomy225800000X
Provider Legal NameEDWARD HALOMOAN SIAHAANCredential: CTRS
Location Address3933 HARRISON STRiverside, CA 92503-3523
Mailing Address3933 Harrison StRiverside, CA 92503-3523 · (833) 391-0505
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1205771086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License Licensed in CA · CTRS32156
Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

3933 HARRISON ST, Riverside, CA 92503

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.

Registered Nurse (Psychiatric/Mental Health)
3933 HARRISON ST
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3933 HARRISON ST
RIVERSIDE, CA 92503
Licensed Psychiatric Technician
3933 HARRISON ST
RIVERSIDE, CA 92503
Registered Nurse (Psychiatric/Mental Health)
3933 HARRISON ST
RIVERSIDE, CA 92503
Licensed Vocational Nurse
3933 HARRISON ST
RIVERSIDE, CA 92503
Licensed Psychiatric Technician
3933 HARRISON ST
RIVERSIDE, CA 92503
Student in an Organized Health Care Education/Training Program
3933 HARRISON ST
RIVERSIDE, CA 92503
Technician, Health Information
3933 HARRISON ST
RIVERSIDE, CA 92503

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 Edward Siahaan's NPI number?

The NPI number for Edward Siahaan is 1205771086. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Edward Siahaan located?

Edward Siahaan practices at 3933 Harrison St, Riverside, CA 92503. The listed phone number is (833) 391-0505.

What is Edward Siahaan's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Edward Siahaan was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.