CITY OF BERKELEY (NPI# 1750415113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750415113 |
| Entity Type | Organization |
| Organization Name | CITY OF BERKELEY |
| Other Organization Name | FAMILY YOUTH AND CHILDREN |
| Practice Address |
3282 Adeline St Berkeley CA 94703-2439 |
| Mailing Address |
2180 Milvia St 2rd Floor Berkeley CA 94704-1122 |
| Practice Telephone | 5109815280 |
| Practice Fax Number | 5109815255 |
| Mailing Telephone | 5109815270 |
| Mailing Fax Number | 5109815235 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | STEVE GROLNIC-MCCLURG (MANAGER OF MENTAL HEALTH) |
| Authorized Official Telephone | 5109815280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FAMILY YOUTH AND CHILDREN | 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 |
| 1689799520 | City of Berkeley | Clinic/Center | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-03-20 |
| 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 |
| 1215963699 | City of Berkeley | Clinic/Center | 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238 | 2006-06-25 |
| Street Address |
3282 ADELINE ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220936 | Ellen Moore | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2006-07-04 |
| 1780206961 | Jillian Mccoy | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2020-05-11 |
| 1720640121 | Jan Lau | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2019-07-05 |
| 1679077853 | Veena Kumari Channon | Case Manager/Care Coordinator | 3282 Adeline St, Berkeley, CA 94703-2439 | 2018-03-21 |
| 1467965129 | Molly Gerstein Gales | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-11-15 |
| 1346766342 | Zachary Haskell Meredith | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-08-21 |
| 1831613702 | Mary Youm | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-08-01 |
| 1871013474 | Jose R Buenrostro | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-06-23 |
| 1184171050 | Brian Cheung | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2016-09-08 |
| 1528512548 | Christopher James Edwards | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2016-08-08 |
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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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912299249 | Op Plus 1 | Clinic/Center | 6915 Norfolk Rd, Berkeley, CA 94705-1738 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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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.