CITY OF BERKELEY (NPI# 1689799520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689799520 |
Entity Type | Organization |
Organization Name | CITY OF BERKELEY |
Other Organization Name | HEALTH, HOUSING & COMMUNITY SERVICES |
Practice Address |
1890 Alcatraz Ave Berkeley CA 94703-2715 |
Mailing Address |
3282 Adeline St Berkeley CA 94703-2439 |
Practice Telephone | 5109815280 |
Practice Fax Number | 5105969299 |
Mailing Telephone | 5109815280 |
Mailing Fax Number | 5105969299 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-03-05 |
Authorized Official Name | YVETTE KATUALA (COMPLIANCE OFFICER) |
Authorized Official Telephone | 5109817654 |
Authorized Official Credential | MFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Health, Housing & Community Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952950461 | City of Berkeley | Clinic/Center | 1980 Allston Way Ste H105, Berkeley, CA 94704-1463 | 2019-09-06 |
1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
1851833784 | City of Berkeley | Clinic/Center | 1521 University Ave, Berkeley, CA 94703-1422 | 2016-11-09 |
1710429642 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2016-11-09 |
1487972790 | City of Berkeley | Clinic/Center | 1980 Allston Way, H-105, Berkeley, CA 94704-1463 | 2010-05-11 |
1750415113 | City of Berkeley | Clinic/Center | 3282 Adeline St, Berkeley, CA 94703-2439 | 2007-03-15 |
1215963699 | City of Berkeley | Clinic/Center | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2006-06-25 |
Street Address |
1890 ALCATRAZ AVE |
City | BERKELEY |
State | CA |
Zip Code | 94703-2715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413877 | Laloni Carter | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2020-06-25 |
1902420516 | Marcus Dwayne Davis | Student in an Organized Health Care Education/Training Program | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2020-05-31 |
1164916532 | Karl Guy | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2018-06-19 |
1003318957 | Joshua Schwartz | Student in an Organized Health Care Education/Training Program | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2018-03-07 |
1710429642 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2016-11-09 |
1487030102 | Nancy Gutierrez | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2015-08-04 |
1861787574 | Sharon Frasier | Case Manager/Care Coordinator | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2011-06-10 |
1629284815 | Zhanetta Vaysman | Registered Nurse | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-05-15 |
1659585578 | Michael Praus | Social Worker | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-05-09 |
1457471500 | The West Oakland Health Council | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
Find all providers in zip 94703 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639731375 | Meru Health | Clinic/Center | 330 1/2 Panoramic Way, Berkeley, CA 94704-1834 | 2019-07-02 |
1528692332 | The Psychotherapy Institute | Clinic/Center | 2232 Carleton St, Berkeley, CA 94704-3225 | 2020-03-02 |
1790326403 | Miran Choi Md | Clinic/Center | 2305 Ashby Ave, Berkeley, CA 94705-1909 | 2019-10-03 |
1629208681 | Ronald Spinka Md Inc | Clinic/Center | 921 The Alameda, Berkeley, CA 94707-2311 | 2009-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
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.