SUPPORTIV (NPI# 1396205068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396205068 |
| Entity Type | Organization |
| Organization Name | SUPPORTIV |
| Practice Address |
2222 Harold Way Berkeley CA 94704-1425 |
| Practice Telephone | 8008450015 |
| Mailing Telephone | 8008450015 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | HELENA PLATER-ZYBERK (CO-FOUNDER) |
| Authorized Official Telephone | 8008450015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SUPPORTIVE ADULT SERVICES OF VIRGINIA LLC | 7230 Heritage Village Plaza, Suite 201, Gainesville, Virginia 20155 |
| New York State Corporations | SUPPORTIVE AND DIRECTIVE INFORMATION CENTER, LIMITED LIABILITY COMPANY | 25 Robert Pitt Drive, Suite 204, Monsey, Ny 10952 |
| New York State Corporations | SUPPORTIVE ARTISTS INTERNATIONAL, INC. | Suite 1700, 122 East 42nd Street, New York, Ny 10168 |
| New York State Corporations | SUPPORTIVE CARE ABA NY LLC | 148 Doughty Blvd, Suite 260, Inwood, Ny 11096 |
| Alabama Business Registrations | Supportive Care LLC | 100 Oxmoore Road Suite 110, Birmingham, AL 35209 |
| New York State Corporations | SUPPORTIVE CARE OF OGDENSBURG, INC. | Po Box 86, Ogdensburg, Ny 13669 |
| Ohio Business Entities | SUPPORTIVE CARE OF OHIO LLC | 28602 Yeshiva Lane, Wickliffe, OH 44092 |
| Virginia Business Entities | SUPPORTIVE CARE OF VIRGINIA LLC | 27 Randolph Rd, Howell, New Jersey 07731-8611 |
| New York State Corporations | SUPPORTIVE CARE PSYCHIATRY OF NY P.C. | 27 Randolph Road, Howell, Nj 07731 |
| New York State Corporations | SUPPORTIVE CARE PSYCHOLOGY OF NY, P.C. | 51 Grayson Place, Teaneck, New Jersey 07666 |
| Street Address |
2222 HAROLD WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1425 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1437558251 | Oakes Children's Center | Community/Behavioral Health | 2637a Fulton St, Berkeley, CA 94704-3231 | 2014-08-18 |
| 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.