NPIMap

Organization Active NPI

Building Opportunities for Self Sufficiency

  • Mental Illness Community Based Residential Treatment Facility
  • Berkeley, CA
National Provider Identifier
1215280433
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY
Practice address
2065 Kittredge St Ste E
Berkeley, CA 94704-1404
Phone
(510) 649-9130
Fax
(510) 649-0627
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Ms. Shirley Jean Walker, B.A.
Title
MHRS-Mental Health Res. Counselor
Phone
(510) 537-5845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2065 Kittredge St Ste E
Berkeley, CA 94704-1404

Mailing address

21761 Meekland Ave
Hayward, CA 94541-3866
Phone (510) 537-5845

National Provider Directory

National Provider Directory
Tax ID family
Boss-Ctec13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1215280433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21761 MEEKLAND AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413866",
            "telephone_number": "510-537-5845",
            "fax_number": "510-582-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 KITTREDGE ST STE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041404",
            "telephone_number": "510-649-9130",
            "fax_number": "510-649-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OPPORTUNITIES FOR SELF SUFFICIENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MHRS-MENTAL HEALTH RES. COUNSELOR",
        "authorized_official_telephone_number": "510-537-5845",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "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 Oct 25, 2012; 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.