NPIMap

Organization Active NPI

Ujima West

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, CA
National Provider Identifier
1124457098
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
UJIMA WEST
Practice address
3939 Bissell Ave
Richmond, CA 94805-2200
Phone
(510) 215-2280
Fax
(510) 215-2283
NPI assigned
Nov 1, 2013
Organization subpart
Yes
Parent organization
UJIMA FAMILY RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Ms. Rita B Schank, MPA
Title
Executive Director
Phone
(510) 236-3139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

3939 Bissell Ave
Richmond, CA 94805-2200

Mailing address

1901 Church LN
San Pablo, CA 94806-3707
Phone (510) 236-3139

National Provider Directory

National Provider Directory
Tax ID family
Ujima West17 organizations share this tax ID, including this one
Part of
Ujima West

Other organizations with this tax ID 16

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

View all 16

Locations

3939 Bissell Ave
Richmond, CA 94805
Phone (510) 215-2280

Practitioners & affiliated clinicians

Practitioners 6

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1124457098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CHURCH LN",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063707",
            "telephone_number": "510-236-3139",
            "fax_number": "510-236-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BISSELL AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052200",
            "telephone_number": "510-215-2280",
            "fax_number": "510-215-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA WEST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UJIMA FAMILY RECOVERY SERVICES",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-236-3139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.