NPIMap

Organization Active NPI

Boss

  • Mental Illness Community Based Residential Treatment Facility
  • Oakland, CA
National Provider Identifier
1104178508
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BOSS
Practice address
2280 San Pablo Ave
Oakland, CA 94612-1321
Phone
(510) 899-4200
NPI assigned
Oct 9, 2012
Organization subpart
Yes
Parent organization
CASA MARIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mrs. Monica Chambers, MSW
Title
Team Leader
Phone
(510) 899-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2280 San Pablo Ave
Oakland, CA 94612-1321

Mailing address

2280 San Pablo Ave
Oakland, CA 94612-1321
Phone (510) 899-4200

Other names 1

  • Casa Maria Doing business as

National Provider Directory

National Provider Directory
Part of
Boss

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1104178508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121321",
            "telephone_number": "510-899-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121321",
            "telephone_number": "510-899-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA MARIA",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "510-899-4207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Maria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2012; 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.