NPIMap

Organization Active NPI

Anka Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, CA
National Provider Identifier
1194263640
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
4002-5526 Issued in CA
Legal business name
ANKA BEHAVIORAL HEALTH, INC.
Practice address
3215 Nevin Ave
Richmond, CA 94804-1721
Phone
(510) 232-7633
Fax
(510) 215-2432
NPI assigned
Feb 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Authorized official

Name
Ms. Carolyn Jo Moore
Title
Mental Health Relief Worker
Phone
510236763307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 4002-5526 CA Primary

Addresses

Primary practice location

3215 Nevin Ave
Richmond, CA 94804-1721

Mailing address

3215 Nevin Ave
Richmond, CA 94804-1721
Phone (510) 232-7633

Other names 1

  • Nevin House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anka Behavioral Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1194263640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NEVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041721",
            "telephone_number": "510-232-7633",
            "fax_number": "510-215-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NEVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041721",
            "telephone_number": "510-232-7633",
            "fax_number": "510-215-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MENTAL HEALTH RELIEF WORKER",
        "authorized_official_telephone_number": "510236763307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "4002-5526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevin House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2017; 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.