NPIMap

Organization Active NPI

Building Opportunities for Self-Sufficiency

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1124423389
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Practice address
1931 Center St
Berkeley, CA 94704-1105
Phone
(510) 843-3700
Fax
(510) 843-3790
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Mr. Donald Ivy Fraizer
Title
Executive Director
Phone
(510) 649-1930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

1931 Center St
Berkeley, CA 94704-1105

Mailing address

2065 Kittredge St
Suite E
Berkeley, CA 94704-1404
Phone (510) 649-1930

National Provider Directory

National Provider Directory
Tax ID family
Boss-Ctec13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1124423389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 KITTREDGE ST",
            "address_2": "SUITE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041404",
            "telephone_number": "510-649-1930",
            "fax_number": "510-649-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 CENTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041105",
            "telephone_number": "510-843-3700",
            "fax_number": "510-843-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "FRAIZER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "IVY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-649-1930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.