Basic Information
Provider Information
NPI: 1932615325
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RITOCH
FirstName: SCARLETT
MiddleName: ADRIANA
NamePrefix:  
NameSuffix:  
Credential: MFT, RBT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9343 TECH CENTER DR
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958262563
CountryCode: US
TelephoneNumber: 9163386400
FaxNumber:  
Practice Location
Address1: 9343 TECH CENTER DR
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958262563
CountryCode: US
TelephoneNumber: 9163886400
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/20/2017
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106S00000XRBT-17-36839CAN    
106H00000X  Y Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


Home