NPIMap

Organization Active NPI

Goals for Autism, Inc.

  • Behavior Analyst
  • Walnut Creek, CA
National Provider Identifier
1366773012
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOALS FOR AUTISM, INC.
Practice address
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone
(415) 915-9408
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Adryon KetchamNPI 1780928648
Title
Ceo
Phone
(415) 915-9408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X NU
Early Intervention Provider Agency 252Y00000X CA
Behavior Analyst 103K00000X NU Primary
Behavior Analyst 103K00000X NV
Community/Behavioral Health Agency 251S00000X CA

Addresses

Primary practice location

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218

Mailing address

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone (888) 531-8385

Other practice location 1

1 Crow Canyon Ct
Suite 100
San Ramon, CA 94583-1928
Phone (925) 348-6384

National Provider Directory

National Provider Directory
Tax ID family
Goals for Autism Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1 Crow Canyon Ct
Ste 100
San Ramon, CA 94583
Phone (925) 348-6384

800 S Broadway
Ste 310
Walnut Creek, CA 94596
Phone (925) 264-1902

Practitioners & affiliated clinicians

Practitioners 278

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 278

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1366773012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S BROADWAY STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965218",
            "telephone_number": "888-531-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BROADWAY STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965218",
            "telephone_number": "415-915-9408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Crow Canyon Ct",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831928",
            "country_code": "US",
            "telephone_number": "925-348-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOALS FOR AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "KETCHAM",
        "authorized_official_first_name": "ADRYON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-915-9408"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

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