ANKA BEHAVIORAL HEALTH, INC. (NPI# 1407272941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407272941 |
Entity Type | Organization |
Organization Name | ANKA BEHAVIORAL HEALTH, INC. |
Other Organization Name | CASA VERDE |
Practice Address |
512 E St Unit B Antioch CA 94509 |
Mailing Address |
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 |
Practice Telephone | 9257790185 |
Mailing Telephone | 9258254700 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2018-07-03 |
Authorized Official Name | DR. NZINGA HARRISON (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 9258254700 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Casa Verde | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
1598181802 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 136 N Taylor Ave, Montebello, CA 90640 | 2014-03-11 |
1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Anka Behavioral Health, Incorporated | 1850 Gateway Boulevard, Suite 900 , Concord, CA 94520 |
Virginia Business Entity | Anka Behavioral Health, Incorporated | 1850 GATEWAY BLVD. SUITE 900, CONCORD, CA 94520 |
Street Address |
512 E ST UNIT B |
City | ANTIOCH |
State | CA |
Zip Code | 94509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
Find all providers in zip 94509 |
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 |
---|---|---|---|---|
1649824046 | Lincoln | Community/Behavioral Health | 1708 F St, Antioch, CA 94509-2225 | 2019-07-25 |
1326503079 | Pcs Mental Health LLC | Community/Behavioral Health | 2031 Antioch Pike Ste 101, Antioch, TN 37013-3315 | 2019-02-07 |
1356810188 | Medical One, LLC | Community/Behavioral Health | 2213 Buchanan Rd Ste 202, Antioch, CA 94509-4265 | 2018-11-22 |
1962983262 | Lincoln | Community/Behavioral Health | 2304 G St, Antioch, CA 94509-3500 | 2018-08-24 |
1518448810 | Lincoln | Community/Behavioral Health | 615 Greystone Dr, Antioch, CA 94509-6990 | 2018-08-24 |
1609357904 | Lincoln | Community/Behavioral Health | 1931 Mokelumne Dr, Antioch, CA 94531-9129 | 2018-08-24 |
1053892356 | Lincoln | Community/Behavioral Health | 2801 Roosevelt Ln, Antioch, CA 94509-5038 | 2018-08-24 |
1700367166 | Lincoln | Community/Behavioral Health | 4721 Vista Grande Dr, Antioch, CA 94531-8619 | 2018-08-23 |
1578848560 | La Cheim School Inc. | Community/Behavioral Health | 1413 F Street, Antioch, CA 94509-2220 | 2011-10-21 |
1689958290 | Child Therapy Institute | Community/Behavioral Health | 3720 Sunset Ln Ste D, Antioch, CA 94509-6124 | 2011-09-30 |
Find all providers in ANTIOCH |
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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.