Organization Active NPI

Berkeley Place

  • Counselor
  • Oakland, CA
National Provider Identifier
1013118355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BERKELEY PLACE
Practice address
421 Fairmount Ave
Oakland, CA 94611-5534
Phone
(510) 839-3769
Fax
(510) 839-3500
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rhea Garboos
Title
Program Director
Phone
(510) 839-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

421 Fairmount Ave
Oakland, CA 94611-5534

Mailing address

6500 Pinehaven Rd
Oakland, CA 94611-1247
Phone (510) 653-3981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013118355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PINEHAVEN RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111247",
            "telephone_number": "510-653-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FAIRMOUNT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115534",
            "telephone_number": "510-839-3769",
            "fax_number": "510-839-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARBOOS",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-839-9125"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.