Organization Active NPI

Birch Psychiatric Services a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1124465398
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18162 Issued in CA
Legal business name
BIRCH PSYCHIATRIC SERVICES A NURSING CORPORATION
Practice address
2397 Shattuck Ave Ste 206
Berkeley, CA 94704-1567
Phone
(510) 599-9421
NPI assigned
May 29, 2013
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Jennifer Birch, PMHNPNPI 1548439003
Title
Ceo
Phone
(510) 599-9421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18162 CA Primary

Addresses

Primary practice location

2397 Shattuck Ave Ste 206
Berkeley, CA 94704-1567

Mailing address

2397 Shattuck Ave Ste 206
Berkeley, CA 94704-1567
Phone (510) 599-9421

National Provider Directory

National Provider Directory

Locations

2397 Shattuck Ave
Ste 206
Berkeley, CA 94704
Phone (510) 599-9421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1124465398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVE STE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041567",
            "telephone_number": "510-599-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVE STE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041567",
            "telephone_number": "510-599-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH PSYCHIATRIC SERVICES A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-599-9421",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18162",
            "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 Apr 16, 2019; 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.