NPIMap

Organization Active NPI

Anka Behavioral Health Incorporated

Doing business as Casa Phoenix

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1003126251
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANKA BEHAVIORAL HEALTH INCORPORATED
Doing business as
Casa Phoenix
Practice address
740 Hollyhock Dr
San Leandro, CA 94578
Phone
(510) 670-9880
NPI assigned
Oct 20, 2010
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nzinga Harrison
Title
Chief Medical Officer
Phone
(925) 825-4700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 019200409 CA
Psychiatric Residential Treatment Facility 323P00000X 019200409 CA

Addresses

Primary practice location

740 Hollyhock Dr
San Leandro, CA 94578

Mailing address

3480 Buskirk Ave Ste 300
Pleasant Hill, CA 94523-4343
Phone (925) 825-4700

Other names 1

  • Casa Phoenix Doing business as

National Provider Directory

National Provider Directory

Locations

1121 Detroit Ave
Concord, CA 94520
Phone (925) 685-7613

1470 Civic Ct
Ste 111
Concord, CA 94520
Phone (925) 265-6661

2177 Las Positas Ct
Ste Bc
Livermore, CA 94551
Phone (925) 265-6160

401 S Airport Way
Manteca, CA 95337
Phone (209) 456-5801

350 Hillmont Ave
Ventura, CA 93003
Phone (805) 233-7750

1514 Cleveland Ave
Ste 116
East Point, GA 30344
Phone (404) 448-3942

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1003126251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234343",
            "telephone_number": "925-825-4700",
            "fax_number": "925-825-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOLLYHOCK DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-670-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BEHAVIORAL HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NZINGA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "925-825-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "019200409",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "019200409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.