Provider Demographics
NPI:1801773320
Name:CEIBA COLLEGE PREP
Entity type:Organization
Organization Name:CEIBA COLLEGE PREP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SCHOOL
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-740-8786
Mailing Address - Street 1:215 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-5104
Mailing Address - Country:US
Mailing Address - Phone:831-740-8800
Mailing Address - Fax:830-740-8812
Practice Address - Street 1:215 LOCUST ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-5104
Practice Address - Country:US
Practice Address - Phone:831-740-8800
Practice Address - Fax:830-740-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health