Organization Active NPI

Mobile Therapy Solutions LLC

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1356006563
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOBILE THERAPY SOLUTIONS LLC
Practice address
322 Hanover Ave Apt 304
Oakland, CA 94606-1393
Phone
(408) 469-0267
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Ajene White, MS OTR/L
Title
Ceo
Phone
(510) 621-3634

Specialties & licenses 1

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

Addresses

Primary practice location

322 Hanover Ave Apt 304
Oakland, CA 94606-1393

Mailing address

322 Hanover Ave Apt 304
Oakland, CA 94606-1393
Phone (408) 469-0267

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1356006563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 HANOVER AVE APT 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061393",
            "telephone_number": "408-469-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HANOVER AVE APT 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061393",
            "telephone_number": "408-469-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AJENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-621-3634",
        "authorized_official_credential": "MS OTR/L"
    },
    "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 1, 2021; 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.