MR. JAHARI MCKNIGHT I (NPI# 1982048419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982048419 |
| Entity Type | Individual |
| Full Name | MR. JAHARI MCKNIGHT I |
| Practice Address |
1255 Allston Way Berkeley CA 94702-1833 |
| Practice Telephone | 5108459010 |
| Practice Fax Number | 5108491421 |
| Mailing Telephone | 5108459010 |
| Mailing Fax Number | 5108491421 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1255 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902960305 | Sherry-lynn Sarmiento Fahey | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2006-12-20 |
| 1346855277 | David Raphael Alcala | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-08 |
| 1104430685 | Michael Olawuyi Olawuni | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-02 |
| 1508477803 | Mari Nicole Colbert | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-08-11 |
| 1225665276 | Simone Dasilva | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-26 |
| 1518593383 | Alanna Javier | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-12 |
| 1336789940 | Nicolette Boudreaux Wilkenfeld | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-01-11 |
| 1982256624 | Milan Drake | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-07-12 |
| 1548724461 | Julie Sunrise Cowles | Social Worker | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-24 |
| 1306319587 | Abbysinia Wincher | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-09 |
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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 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104386689 | Melvin Cowan II | Case Manager/Care Coordinator | 1918 University Ave Ste 2a, Berkeley, CA 94704-3263 | 2019-03-21 |
| 1831331206 | Martha Angelica Rodriguez | Case Manager/Care Coordinator | 2134 Mcgee Ave, Apt A, Berkeley, CA 94703-1449 | 2009-04-01 |
| 1174702401 | Antonia L Avila | Case Manager/Care Coordinator | 1900 6th St, Berkeley, CA 94710-2005 | 2007-11-02 |
| 1598253130 | Guy Black Sr. | Case Manager/Care Coordinator | 3200 Adeline St, Berkeley, CA 94703-2407 | 2018-04-30 |
| 1679077853 | Veena Kumari Channon | Case Manager/Care Coordinator | 3282 Adeline St, Berkeley, CA 94703-2439 | 2018-03-21 |
| 1467803692 | Dominic Blakeney | Case Manager/Care Coordinator | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-06-29 |
| 1902209752 | Marcus Njissang | Case Manager/Care Coordinator | 1900 6th St, Berkeley, CA 94710-2005 | 2014-10-07 |
| 1053731638 | Michele Gusse | Case Manager/Care Coordinator | 3200 Adeline St, Berkeley, CA 94703-2407 | 2014-04-22 |
| 1558796987 | Donald Ivy Frazier Jr. | Case Manager/Care Coordinator | 1255 Allston Way, Berkeley, CA 94702-1833 | 2013-09-04 |
| 1518306745 | Stacy Lynn Kimmins | Case Manager/Care Coordinator | 2484 Shattuck Ave, Berkeley, CA 94704-2076 | 2013-06-20 |
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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.