PORTIA BELL HUME CENTER (NPI# 1043690027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043690027 |
| Entity Type | Organization |
| Organization Name | PORTIA BELL HUME CENTER |
| Practice Address |
39465 Paseo Padre Pkwy Ste 2100 Fremont CA 94538-1624 |
| Mailing Address |
3170 Oak Rd Apt 310 Walnut Creek CA 94597-7730 |
| Practice Telephone | 5107459151 |
| Mailing Telephone | 5106108895 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | DR. ELIZABETH PEARCE (SUPERVISOR) |
| Authorized Official Telephone | 5107459151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275078057 | Portia Bell Hume Center | Case Management | 3095 Richmond Pkwy Ste 201, Apt B, Richmond, CA 94806-5878 | 2017-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTIA BELL HUME CENTER | 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 |
| Street Address |
39465 PASEO PADRE PKWY STE 2100 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790834661 | Max Aaron Garlick | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, #2100, Fremont, CA 94538-1624 | 2007-01-09 |
| 1265057939 | Sana Arastu | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2020-06-09 |
| 1841826062 | Vincent Bologna | Case Manager/Care Coordinator | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2020-03-19 |
| 1831722024 | Kalpana Dave | Case Manager/Care Coordinator | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2020-02-17 |
| 1053958462 | Alyssa J Deneal | Peer Specialist | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-12-04 |
| 1598310245 | Anjana Srinivasaprasad | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-08-08 |
| 1538711395 | Shivani Kaur Sarkaria | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-07-11 |
| 1639730310 | Jillian Thrall | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-06-24 |
| 1023679818 | Luke Holland | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-06-24 |
| 1164992863 | Floria Malek | Case Manager/Care Coordinator | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2018-11-26 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1033605720 | Safe Alternatives To Violent Environments | Clinic/Center | 1900 Mowry Ave Ste 201, Fremont, CA 94538-1722 | 2018-07-05 |
| 1295116614 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2015-06-11 |
| 1609173194 | Fred Morrison, Mft | Clinic/Center | 39803 Paseo Padre Pkwy Ste C, Fremont, CA 94538-2992 | 2011-02-17 |
| 1801087366 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2007-08-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.