1609091099 NPI number — REDMAN FAMILY COUNSELORS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609091099 NPI number — REDMAN FAMILY COUNSELORS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REDMAN FAMILY COUNSELORS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609091099
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20688 4TH ST STE 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SARATOGA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95070-5894
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-496-9100
Provider Business Mailing Address Fax Number:
408-867-7860

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20688 4TH ST STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95070-5894
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-496-9100
Provider Business Practice Location Address Fax Number:
408-867-7860
Provider Enumeration Date:
04/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
REDMAN
Authorized Official First Name:
JANET
Authorized Official Middle Name:
BILKER
Authorized Official Title or Position:
PSYCHOLOGIST
Authorized Official Telephone Number:
408-496-9100

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSYCH7096 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com