BERKELEY ADDICTION TREATMENT SERVICES (NPI# 1497940134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497940134 |
| Entity Type | Organization |
| Organization Name | BERKELEY ADDICTION TREATMENT SERVICES |
| Practice Address |
2975 Sacramento St Berkeley CA 94702-2534 |
| Practice Telephone | 5106440200 |
| Practice Fax Number | 5106442044 |
| Mailing Telephone | 5106440200 |
| Mailing Fax Number | 5106442044 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | MS. MATONIA WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5106440200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 01/90 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144628363 | Berkeley Addiction Treatment Services | Community/Behavioral Health | 2798 Sacramento St, Berkeley, CA 94702-2337 | 2014-12-22 |
| Street Address |
2975 SACRAMENTO ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871617803 | Lee Boone | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2007-03-16 |
| 1487290037 | Omari Mull | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2019-11-19 |
| 1992369193 | Lovell Donnell Williams | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2019-04-24 |
| 1356813927 | Ramean Khepri Maat | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-12-20 |
| 1285100800 | Elizabeth Ann Roskey | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-10-22 |
| 1699267302 | Michael Anthony Thompson | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-05-30 |
| 1376996330 | Kim Weaver | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-07-14 |
| 1467803692 | Dominic Blakeney | Case Manager/Care Coordinator | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-06-29 |
| 1952766305 | Shaneice Harris | Genetic Counselor, MS | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2015-12-29 |
| 1467822387 | Kyloh Cummings | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2015-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438965 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 2031 6th St, Berkeley, CA 94710-2006 | 2019-10-10 |
| 1841832862 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2019-10-10 |
| 1437791449 | Lifelong Medical Care | Non-Pharmacy Dispensing Site | 3075 Adeline St Ste 280, Berkeley, CA 94703-2580 | 2019-10-10 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
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| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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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.