NPIMap

Organization Active NPI

Asian Community Mental Health Board

Doing business as Asian Community Mental Health Services

  • Community/Behavioral Health Agency
  • Richmond, CA
National Provider Identifier
1194904276
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASIAN COMMUNITY MENTAL HEALTH BOARD
Doing business as
Asian Community Mental Health Services
Practice address
12240 San Pablo Ave
Richmond, CA 94805-2453
Phone
(510) 869-6000
Fax
(510) 839-4723
NPI assigned
Oct 25, 2007
Reactivated
Sep 24, 2014
Organization subpart
Yes
Parent organization
AIAN COMMUNITY MENTAL HEALTH BORADAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Ms. Esther Wong, LCSW
Title
Program Manager
Phone
(510) 869-6087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 079200069 CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12240 San Pablo Ave
Richmond, CA 94805-2453

Mailing address

310 8TH Street
Suite 201
Oakland, CA 94607-6527
Phone (510) 869-6000

Other names 1

  • Asian Community Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asian Comm Mental HLTH BRD4 organizations share this tax ID, including this one
Part of
Asian Comm Mental HLTH BRD

Other organizations with this tax ID 3

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

Locations

12240 San Pablo Ave
Richmond, CA 94805
Phone (510) 869-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1194904276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH STREET",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076527",
            "telephone_number": "510-869-6000",
            "fax_number": "510-839-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12240 SAN PABLO AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052453",
            "telephone_number": "510-869-6000",
            "fax_number": "510-839-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN COMMUNITY MENTAL HEALTH BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIAN COMMUNITY MENTAL HEALTH BORAD",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-09-30",
        "deactivation_date": "2014-04-02",
        "reactivation_date": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "510-869-6087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "079200069",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Community Mental Health Services",
            "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 Sep 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.