Organization Active NPI

Black Men Speak, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1225740319
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLACK MEN SPEAK, INC.
Practice address
80 Swan Way Ste 102
Oakland, CA 94621-1438
Phone
(510) 969-5086
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Damon Johnson
Title
Executive Director
Phone
(510) 605-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

80 Swan Way Ste 102
Oakland, CA 94621-1438

Mailing address

80 Swan Way Ste 102
Oakland, CA 94621-1438
Phone (510) 969-5086

National Provider Directory

National Provider Directory

Locations

80 Swan Way
Ste 102
Oakland, CA 94621
Phone (510) 571-0698

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1225740319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SWAN WAY STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211438",
            "telephone_number": "510-969-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SWAN WAY STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211438",
            "telephone_number": "510-969-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MEN SPEAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-605-8280"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.