CITY OF BERKELEY (NPI# 1215963699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215963699 |
| Entity Type | Organization |
| Organization Name | CITY OF BERKELEY |
| Practice Address |
2640 Martin Luther King Jr Way Berkeley CA 94704-3238 |
| Mailing Address |
3282 Adeline Street Berkeley CA 94703 |
| Practice Telephone | 5109815290 |
| Practice Fax Number | 5109815265 |
| Mailing Telephone | 5109815280 |
| Mailing Fax Number | 5105969299 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. STEVE GROLNIC-MCCLURG (MANAGER OF MENTAL HEALTH) |
| Authorized Official Telephone | 5109815280 |
| Authorized Official Credential | LCSW |
| 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 |
|---|---|---|---|---|
| 1952950461 | City of Berkeley | Clinic/Center | 1980 Allston Way Ste H105, Berkeley, CA 94704-1463 | 2019-09-06 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1689799520 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-03-20 |
| 1851833784 | City of Berkeley | Clinic/Center | 1521 University Ave, Berkeley, CA 94703-1422 | 2016-11-09 |
| 1710429642 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2016-11-09 |
| 1487972790 | City of Berkeley | Clinic/Center | 1980 Allston Way, H-105, Berkeley, CA 94704-1463 | 2010-05-11 |
| 1750415113 | City of Berkeley | Clinic/Center | 3282 Adeline St, Berkeley, CA 94703-2439 | 2007-03-15 |
| Street Address |
2640 MARTIN LUTHER KING JR WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096932 | Jeffrey Fordham Johns | Psychiatry & Neurology | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2005-10-12 |
| 1326538323 | Anahat Singh | Student in an Organized Health Care Education/Training Program | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2018-05-15 |
| 1821465683 | Efiya Asabi | Student in an Organized Health Care Education/Training Program | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2015-08-27 |
| 1720414758 | Maria Belinda Aguilera | Counselor | 2640 Martin Luther King Jr Way, Berkeley, CA 94704 | 2013-09-23 |
| 1689006397 | Oona Appel | Student in an Organized Health Care Education/Training Program | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2013-08-05 |
| 1861824690 | Jesusa Cristina Bacagan Freeman | Marriage & Family Therapist | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2013-08-02 |
| 1629419627 | Lisa Nicole Frierson | Social Worker | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2013-07-08 |
| 1679826713 | City of Berkeley Department of Health, Housing & Community Services | Community/Behavioral Health | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2012-10-25 |
| 1740533421 | Cristina Biasetto | Student in an Organized Health Care Education/Training Program | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2012-10-18 |
| 1164785994 | Berkeley Mental Health | Community/Behavioral Health | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952950461 | City of Berkeley | Clinic/Center | 1980 Allston Way Ste H105, Berkeley, CA 94704-1463 | 2019-09-06 |
| 1760891931 | Child Therapy Institute of Marin | Clinic/Center | 2300 Martin Luther King Jr Way, Resource Room, Berkeley, CA 94704-1412 | 2014-08-12 |
| 1386261436 | Lara Benefield, Lmft | Clinic/Center | 2915 Martin Luther King Jr Way, Berkeley, CA 94703-2133 | 2020-07-05 |
| 1851833784 | City of Berkeley | Clinic/Center | 1521 University Ave, Berkeley, CA 94703-1422 | 2016-11-09 |
| 1710429642 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2016-11-09 |
| 1043434095 | Pacific Center for Human Growth | Clinic/Center | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.