1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Clinic Center
  6. NPI Profile

SANTA ROSA TREATMENT PROGRAM, INC.
NPI 1285631978
Clinic/Center - Methadone in Santa Rosa, CA

Active since July 07, 2005
625 STEELE LANE, SANTA ROSA, CA 95403(707) 576-0818(707) 576-7845 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jul 3, 2019 (2 updates tracked since 2019).

About Santa Rosa Treatment Program, Inc. NPPES

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

SANTA ROSA TREATMENT PROGRAM, INC. (NPI 1285631978) is a healthcare organization registered as a methadone in Santa Rosa, California and active in the NPI registry since July 2005. The organization lists Lee Roy Tillman, Program Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1285631978
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSANTA ROSA TREATMENT PROGRAM, INC.
Location Address625 STEELE LANESanta Rosa, CA 95403-3127
Mailing Address625 Steele LaneSanta Rosa, CA 95403-3127 · (707) 576-0818 · Fax (707) 576-7845
Phone(707) 576-0818
Fax(707) 576-7845
Organization SubpartNo
Authorized OfficialLee Roy TillmanProgram Director/ceo · (707) 576-0818
Enumeration DateJuly 7, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1285631978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in CA · 49-02
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
625 STEELE LANE, Santa Rosa, CA 95403
Open in Google Maps ↗

Other Identifiers 4

Other3631909CA · Edd State Provider
OtherCA-10228-MCsat (samhsa)
Other49-02CA · Dhcs Ntp
Medicaid49ACCA

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
1,653 services46 patients

Other Providers at the Same Location NPPES

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

SUBOXONE TREATMENT AND COUNSELING SERVICES LLC
Case Management
625 STEELE LANE
SANTA ROSA, CA 95403
Sonoma County (707) 576-1919

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 Santa Rosa Treatment Program, Inc.'s NPI number?

The NPI number for Santa Rosa Treatment Program, Inc. is 1285631978. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Santa Rosa Treatment Program, Inc. located?

Santa Rosa Treatment Program, Inc. is located at 625 Steele Lane, Santa Rosa, CA 95403. The listed phone number is (707) 576-0818.

What is Santa Rosa Treatment Program, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Santa Rosa Treatment Program, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.