PACIFIC CENTER FOR HUMAN GROWTH (NPI# 1275687717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275687717 |
| Entity Type | Organization |
| Organization Name | PACIFIC CENTER FOR HUMAN GROWTH |
| Practice Address |
2712 Telegraph Ave Berkeley CA 94705-1117 |
| Practice Telephone | 5105488283 |
| Mailing Telephone | 5105488283 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRANDON LOVELAND (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 5105488283 |
| 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 |
|---|---|---|---|---|
| 1043434095 | Pacific Center for Human Growth | Clinic/Center | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2007-04-12 |
| Street Address |
2712 TELEGRAPH AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109470 | Summer Rae Thomas | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-09-18 |
| 1689289936 | Damini Sharad Vyas | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-09-14 |
| 1548875008 | Anna Davidson | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-09-11 |
| 1881209450 | Kasha Krupa | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-09-10 |
| 1366057853 | Marcelle Marie Trzcinski | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-09-10 |
| 1154944130 | Stephanie Nichelle White | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-05-25 |
| 1104449180 | Mary Schuler | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-05-25 |
| 1326661729 | Jennifer Helfand | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-05-20 |
| 1740803105 | Madeline Girard | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-05-20 |
| 1962025262 | Daniel Paul Dobson-smith | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
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| 1104435023 | Shuni Inc | Community/Behavioral Health | 2120 University Ave, Berkeley, CA 94704-1026 | 2020-07-27 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1396205068 | Supportiv | Community/Behavioral Health | 2222 Harold Way, Berkeley, CA 94704-1425 | 2019-03-20 |
| 1336628338 | Satellite Affordable Housing Associates | Community/Behavioral Health | 3240 Sacramento St, Berkeley, CA 94702-2740 | 2018-08-09 |
| 1831602457 | Options Recovery Services | Community/Behavioral Health | 3331 King St, Berkeley, CA 94703-2647 | 2017-11-06 |
| 1497268072 | Options Recovery Services | Community/Behavioral Health | 1845 Addison St, Berkeley, CA 94703-1503 | 2017-11-06 |
| 1124557046 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2425 Stuart St, Berkeley, CA 94705-1115 | 2017-06-05 |
| 1205362811 | County of Alameda | Community/Behavioral Health | 2015 Virginia St Rm 102, Berkeley, CA 94709-2229 | 2017-05-03 |
| 1144687435 | Ste Consultants | Community/Behavioral Health | 2560 9th St Ste 220, Berkeley, CA 94710-2565 | 2016-01-19 |
| 1144628363 | Berkeley Addiction Treatment Services | Community/Behavioral Health | 2798 Sacramento St, Berkeley, CA 94702-2337 | 2014-12-22 |
| Find all providers in BERKELEY | ||||
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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.