Organization Active NPI

Bibett

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1396941241
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CADDTP1484 Issued in CA
Legal business name
BIBETT
Practice address
10700 Macarthur Blvd
12
Oakland, CA 94605-5298
Phone
(510) 568-2432
Fax
(510) 568-3912
NPI assigned
Jun 26, 2007
Organization subpart
Yes
Parent organization
BIBETTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Susan Cinelli
Title
Executive Director
Phone
(925) 798-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CADDTP1484 CA Primary

Addresses

Primary practice location

10700 Macarthur Blvd
12
Oakland, CA 94605-5298

Mailing address

10700 Macarthur Blvd
12
Oakland, CA 94605-5298
Phone (510) 568-2432

Other identifiers 2

IdentifierTypeStateIssuer
01ADOtherCADRUG AND ALCOHOL
01ADMedicaidCA

Other names 1

  • EAST OAKLAND RECOVERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederic Ozanam Center -Emerald City31 organizations share this tax ID, including this one
Part of
Frederic Ozanam Center -Emerald City

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1396941241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MACARTHUR BLVD",
            "address_2": "12",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055298",
            "telephone_number": "510-568-2432",
            "fax_number": "510-568-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MACARTHUR BLVD",
            "address_2": "12",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055298",
            "telephone_number": "510-568-2432",
            "fax_number": "510-568-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIBETT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIBETT",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "CINELLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-798-7250"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "CADDTP1484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG AND ALCOHOL",
            "identifier": "01AD",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01AD",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST OAKLAND RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2007; 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.