Active NPI
Ann Martin Center
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1124229224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 140000152
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.