Organization Active NPI

Ann Martin Center

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1124229224
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
140000152 Issued in CA
Legal business name
ANN MARTIN CENTER
Practice address
4314 Piedmont Ave
Oakland, CA 94611
Phone
(510) 654-7377
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Dr. Hasse Leonard-Pagel, PHD
Title
Director of Clinical Programs
Phone
(510) 655-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 140000152 CA Primary

Addresses

Primary practice location

4314 Piedmont Ave
Oakland, CA 94611

Mailing address

1375 55TH St
Emeryville, CA 94608-2609
Phone (510) 655-7880

Other practice location 1

4314 Piedmont Ave
Piedmont, CA 94611-4716
Phone (510) 879-1460

Other names 1

  • Piedmont Avenue Elementary School Other name

National Provider Directory

National Provider Directory

Locations

4314 Piedmont Ave
Piedmont, CA 94611
Phone (510) 654-7377

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1124229224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 55TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082609",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-654-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4314 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "CA",
            "postal_code": "946114716",
            "country_code": "US",
            "telephone_number": "510-879-1460",
            "fax_number": "510-879-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANN MARTIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "LEONARD-PAGEL",
        "authorized_official_first_name": "HASSE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "510-655-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Avenue Elementary School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 27, 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.