Ntu Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NTU WELLNESS CENTER

Practice address

614 Grand Ave Ste 324
Oakland, CA 94610-3563

Phone

(510) 879-7402

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Claudius JohnsonNPI 1770738122

Title

Executive Director

Phone

(510) 879-7402

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudius Johnson, LCSW

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1770738122

  CA

  Medicare reassignment NPD Authorized official
• Crystal Crowley, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1093113581
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1194496281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE STE 324",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE STE 324",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103563",
            "telephone_number": "510-879-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTU WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLAUDIUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-879-7402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA236752",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ntuwellness.org",
            "affiliation": "N",
            "address_1": "614 Grand Ave Ste 324",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946103563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allie Rae Nowak, PA-C
• Monica Z. Nowakowski-Carlson, LCSW
• Kristen Nowakowski
• Lynn Tabb Noyce, NURSE PRACTITIONER
• Ntiedo Johnson Inyang
• Nuevo Amanecer
• Audrey Lynne Nulman, PHD
• Shary Anne Nunan, PH.D.
• Jeanette Lenay Nunes, PMHNP-BC
• Jessica Marie Nunes

• All providers in Oakland, CA
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.