BAY AREA COMMUNITY RESOURCES, INC (NPI# 1093073876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093073876 |
| Entity Type | Organization |
| Organization Name | BAY AREA COMMUNITY RESOURCES, INC |
| Practice Address |
3240 Kerner Blvd San Rafael CA 94901-4840 |
| Mailing Address |
171 Carlos Dr San Rafael CA 94903-2005 |
| Practice Telephone | 4157552345 |
| Practice Fax Number | 4157552235 |
| Mailing Telephone | 4154445580 |
| Mailing Fax Number | 4154445598 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MARY JO WILLIAMS (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4157552305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407132863 | Bay Area Community Resources, Inc | Community/Behavioral Health | 840 Colusa Ave, Thousand Oaks Es, Berkeley, CA 94707-1858 | 2011-10-31 |
| 1447553110 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1400 Ada St, Berkeley, CA 94702-1217 | 2010-12-17 |
| 1881997559 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1130 Oxford St, Berkeley, CA 94707-2624 | 2010-12-17 |
| 1982907655 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1731 Prince St, Berkeley, CA 94703-2464 | 2010-12-17 |
| 1356478143 | Bay Area Community Resources, Inc | Community/Behavioral Health | 11175 San Pablo Ave, El Cerrito, CA 94530 | 2007-02-27 |
| 1346865789 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1750 Harbor St, Pittsburg, CA 94565-4615 | 2020-06-11 |
| 1861017204 | Bay Area Community Resources, Inc | Community/Behavioral Health | 2301 Range Rd, Pittsburg, CA 94565-4646 | 2020-06-11 |
| 1295350676 | Bay Area Community Resources, Inc | Community/Behavioral Health | 4141 Harbor St, Pittsburg, CA 94565-6156 | 2020-06-11 |
| 1740805126 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1200 Jensen Dr, Pittsburg, CA 94565-6319 | 2020-06-11 |
| 1346865870 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1131 Stoneman Ave, Pittsburg, CA 94565-5466 | 2020-06-10 |
| Street Address |
3240 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140034 | Marsha Elizabeth Grant | Registered Nurse | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-04-25 |
| 1861856072 | Beth Grant | Registered Nurse | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-04-13 |
| 1326411281 | Danielle Hiser | Registered Nurse | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396826 | Family Matters of Marin | Community/Behavioral Health | 1346 4th St Ste 202, San Rafael, CA 94901-2860 | 2019-09-25 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| 1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
| 1619362662 | Center Point, Inc. | Community/Behavioral Health | 199 Mill St., San Rafael, CA 94901 | 2015-04-06 |
| 1902204597 | Dba Nancy Freitas Lambert Psyd | Community/Behavioral Health | 1330 Lincoln Ave Ste 102b, San Rafael, CA 94901-2141 | 2014-12-12 |
| 1669878765 | Seneca Family of Agencies | Community/Behavioral Health | 25 W Castlewood Dr, San Rafael, CA 94901-2538 | 2014-11-17 |
| 1396141198 | Seneca Family of Agencies | Community/Behavioral Health | 177 N San Pedro Rd, San Rafael, CA 94903-4200 | 2014-11-06 |
| 1376957373 | Shana Gaviglio Kenney | Community/Behavioral Health | 1665 Grand Ave, San Rafael, CA 94901-2211 | 2014-06-17 |
| 1104256411 | John Hamel & Associates | Community/Behavioral Health | 28 Upper Oak Dr, San Rafael, CA 94903-1732 | 2013-11-22 |
| 1265790489 | Child Therapy Institute of Marin | Community/Behavioral Health | 92 Louise Street, San Rafael, CA 94901 | 2012-04-25 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on BAY AREA COMMUNITY RESOURCES, INC.
| 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.