NPIMap

Organization Active NPI

City of Berkeley Targeted Case Management

  • Case Management Agency
  • Berkeley, CA
National Provider Identifier
1265612691
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CITY OF BERKELEY TARGETED CASE MANAGEMENT
Practice address
1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone
(510) 981-7684
Fax
(510) 981-5345
NPI assigned
Nov 14, 2007
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Peggy Gibbons
Title
Deputy Dir Health and Human SVCS
Phone
(510) 981-5127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1947 Center St
2ND Floor
Berkeley, CA 94704-1169

Mailing address

1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone (510) 981-7684

National Provider Directory

National Provider Directory
Tax ID family
Berkeley Mental Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1265612691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "510-981-7684",
            "fax_number": "510-981-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "510-981-7684",
            "fax_number": "510-981-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BERKELEY TARGETED CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "DEPUTY DIR HEALTH AND HUMAN SVCS",
        "authorized_official_telephone_number": "510-981-5127"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "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 Jan 23, 2008; 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.