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DMH CREATIVE LIVING CENTER
NPI 1407068992
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Rosa, CA

Active since May 04, 2007
617 W 9TH ST, SANTA ROSA, CA 95401(707) 565-4850 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About DMH CREATIVE LIVING CENTER

This page provides the complete NPI Profile along with additional information for Dmh Creative Living Center, a provider established in Santa Rosa, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1407068992 assigned on May 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Dmh Creative Living Center. The authorized official of this NPI record is Diana Stornetta (Compliance Auditor Accountant Iii)

NPI
1407068992 Verify this NPI
Provider Legal Name
DEPARTMENT OF HEALTH SERVICES
Other Organization Name
DMH CREATIVE LIVING CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
617 W 9TH ST SANTA ROSA, CA 95401
Location Phone
(707) 565-4850
Mailing Address
617 W 9TH ST SANTA ROSA, CA 95401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANA STORNETTA

Authorized Official Title
COMPLIANCE AUDITOR ACCOUNTANT III
Authorized Official Phone
(707) 565-4782

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Frequently Asked Questions

What is DEPARTMENT OF HEALTH SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1407068992, enumerated as an "organization" on May 04, 2007.

Where is the provider located?

The provider is located at 617 W 9TH ST SANTA ROSA, CA 95401 and the phone number is (707) 565-4850.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).