ANKA BEHAVIORAL HEALTH INCORPORATED (NPI# 1467811612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467811612 |
| Entity Type | Organization |
| Organization Name | ANKA BEHAVIORAL HEALTH INCORPORATED |
| Other Organization Name | CASA OAKVIEW |
| Practice Address |
1658 Glen Oak Ct Lafayette CA 94549 |
| Mailing Address |
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 |
| Practice Telephone | 9258254700 |
| Practice Fax Number | 9258252610 |
| Mailing Telephone | 9258254700 |
| Mailing Fax Number | 9258252610 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | MR. STEPHEN HAHN-SMITH (VP OF QUALITY MANAGEMENT) |
| Authorized Official Telephone | 9258254700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANKA BEHAVIORAL HEALTH INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Casa Oakview | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356821433 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1470 Civic Ct Ste 100, Concord, CA 94520-5290 | 2018-08-17 |
| 1346736196 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 3333 Parks Ln, Carmichael, CA 95608-3844 | 2018-07-05 |
| 1740776640 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1014 Zook Dr, Glendale, CA 91202-2623 | 2018-07-03 |
| 1275029167 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 4500 Beck Ln, Vacaville, CA 95688-9322 | 2018-07-03 |
| 1245726132 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 549 S 3rd Ave, La Puente, CA 91746-2849 | 2018-07-03 |
| 1861988750 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1786 Vinson Dr, Redding, CA 96003-7950 | 2018-07-03 |
| 1023504917 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 645 S Inman Rd, West Covina, CA 91791-2919 | 2018-07-03 |
| 1659867547 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 15160 Sycamore Ave, San Martin, CA 95046-9702 | 2018-07-03 |
| 1528554417 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 20374 Pickford Way, Redding, CA 96002-9231 | 2018-07-03 |
| 1972099869 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 9029 Pear Orchard Ct, Orangevale, CA 95662-4151 | 2018-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Anka Behavioral Health Incorporated | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | Anka Behavioral Health Incorporated | 1850 Gateway Blvd., Suite 900, Concord, California 94520 |
| Street Address |
1658 GLEN OAK CT |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387209 | Oakview | Community Based Residential Treatment Facility, Mental Illness | 1658 Glen Oak Ct, Lafayette, CA 94549-2256 | 2019-06-28 |
| 1902370554 | Shelby Mcclure Behrens | Marriage & Family Therapist | 1658 Glen Oak Ct, Lafayette, CA 94549-2256 | 2019-01-16 |
| 1558862532 | Priscilla Marie Wetmore | Marriage & Family Therapist | 1658 Glen Oak Ct, Lafayette, CA 94549-2256 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| 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.