BONITA HOUSE, INC. (NPI# 1811559735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811559735 |
| Entity Type | Organization |
| Organization Name | BONITA HOUSE, INC. |
| Practice Address |
1909 University Ave Berkeley CA 94704 |
| Mailing Address |
6333 Telegraph Ave Ste 102 Oakland CA 94609-1359 |
| Practice Telephone | 5108091780 |
| Practice Fax Number | 5108931642 |
| Mailing Telephone | 5109231099 |
| Mailing Fax Number | 5109230894 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | MS. LORNA D. JONES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5109231099 |
| Authorized Official Credential | M.ED-MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396950085 | Bonita House, Inc. | Community/Behavioral Health | 1802 Fairview St, Berkeley, CA 94703-2414 | 2007-05-14 |
| 1073728770 | Bonita House, Inc. | Case Management | 6333 Telegraph Ave Ste 102, Oakland, CA 94609-1359 | 2007-05-14 |
| 1902253016 | Bonita House, Inc. | Community/Behavioral Health | 7200 Bancroft Ave, Suite 267, Oakland, CA 94605-2403 | 2016-05-18 |
| 1053526715 | Bonita House, Inc. | Case Management | 1422 Harrison St, Oakland, CA 94612-3903 | 2007-05-14 |
| 1235344912 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1760697312 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1528080553 | Bonita House, Inc. | Case Management | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 | 2006-07-25 |
| Street Address |
1909 UNIVERSITY AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326679556 | Katlyn Ashley Tracy | Counselor | 1909 University Ave, Berkeley, CA 94704-1023 | 2020-01-27 |
| 1356971097 | Jeffrey Krone | Counselor | 1909 University Ave, Berkeley, CA 94704-1023 | 2020-01-22 |
| 1861022956 | Elizabeth Jean Anderson | Counselor | 1909 University Ave, Berkeley, CA 94704-1023 | 2020-01-17 |
| 1265072383 | Leslie Canjura | Counselor | 1909 University Ave, Berkeley, CA 94704-1023 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| 1841727781 | Vivian Louise Flaherty | Behavioral Analyst | 2636 Martin Luther King Jr. Way, Berkeley, CA 94704 | 2017-05-22 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435023 | Shuni Inc | Community/Behavioral Health | 2120 University Ave, Berkeley, CA 94704-1026 | 2020-07-27 |
| 1396205068 | Supportiv | Community/Behavioral Health | 2222 Harold Way, Berkeley, CA 94704-1425 | 2019-03-20 |
| 1336628338 | Satellite Affordable Housing Associates | Community/Behavioral Health | 3240 Sacramento St, Berkeley, CA 94702-2740 | 2018-08-09 |
| 1831602457 | Options Recovery Services | Community/Behavioral Health | 3331 King St, Berkeley, CA 94703-2647 | 2017-11-06 |
| 1497268072 | Options Recovery Services | Community/Behavioral Health | 1845 Addison St, Berkeley, CA 94703-1503 | 2017-11-06 |
| 1124557046 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2425 Stuart St, Berkeley, CA 94705-1115 | 2017-06-05 |
| 1205362811 | County of Alameda | Community/Behavioral Health | 2015 Virginia St Rm 102, Berkeley, CA 94709-2229 | 2017-05-03 |
| 1144687435 | Ste Consultants | Community/Behavioral Health | 2560 9th St Ste 220, Berkeley, CA 94710-2565 | 2016-01-19 |
| 1144628363 | Berkeley Addiction Treatment Services | Community/Behavioral Health | 2798 Sacramento St, Berkeley, CA 94702-2337 | 2014-12-22 |
| 1437558251 | Oakes Children's Center | Community/Behavioral Health | 2637a Fulton St, Berkeley, CA 94704-3231 | 2014-08-18 |
| 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.