Active NPI
Anka Behavioral Health Inc.
- Community/Behavioral Health Agency
- Fremont, CA
National Provider Identifier
1386948297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ANKA BEHAVIORAL HEALTH INC.
- Practice address
- 5149 Winston CT
Fremont, CA 94536-6523 - Phone
- (510) 494-1567
- NPI assigned
- Jan 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne Thurston, PSY.D.
- Title
- Director of Clinical Training
- Phone
- (925) 825-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5149 Winston CT
Fremont, CA 94536-6523
Mailing address
1504 Deer Creek LN
Redwood City, CA 94062-3253
Phone (650) 743-1473
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1386948297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 DEER CREEK LN",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940623253",
"telephone_number": "650-743-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5149 WINSTON CT",
"city": "FREMONT",
"state": "CA",
"postal_code": "945366523",
"telephone_number": "510-494-1567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANKA BEHAVIORAL HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "THURSTON",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL TRAINING",
"authorized_official_telephone_number": "925-825-4700",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.