MR. BEN C PRYOR (NPI# 1679778864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679778864 |
| Entity Type | Individual |
| Full Name | MR. BEN C PRYOR |
| Other Name | MR. BEN C PRYOR |
| Credential | CADCA |
| Practice Address |
Ben Pryor 998 Virginia St Berkeley CA 94710-1851 |
| Mailing Address |
1931 Center St Berkeley CA 94704-1105 |
| Practice Telephone | 5106841922 |
| Mailing Telephone | 5106669552 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AC BHCS CLINICIAN# | 61552 | 01 |
| Street Address |
BEN PRYOR 998 VIRGINIA ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94710-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
| 1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
| Find all providers in zip 94710 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152324 | Nicholas Michael Jester | Counselor | 1610 Milvia St Apt 2, Berkeley, CA 94709-2047 | 2020-04-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1629429790 | Pearl Ortiz | Counselor | 1280 University Ave Apt D, Berkeley, CA 94702-1762 | 2016-06-29 |
| 1417352634 | Aous Jarrar | Counselor | 1931 Center St., Berkeley, CA 94704-1105 | 2014-10-30 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1699192369 | Elaine Gram | Counselor | 1942 University Ave Ste 208, Berkeley, CA 94704-1073 | 2014-03-19 |
| 1285078378 | Verona Lyn | Counselor | 1931 Center Street, Berkeley, CA 94704 | 2013-04-19 |
| 1407167117 | Preston Vargas | Counselor | 3051 Adeline St, Berkeley, CA 94703-2523 | 2010-06-28 |
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1841312451 | Elaine Daly | Counselor | 1654 University Ave, Berkeley, CA 94703-1455 | 2007-04-04 |
| 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.