Bay Area Behavioral Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BAY AREA BEHAVIORAL GROUP

Practice address

4423 Fortran Court, #136
San Jose, CA 95134

Phone

(408) 586-8654

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Kelly Lam

Title

Owner

Phone

(408) 586-8654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1407221948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 FORTRAN COURT, #136",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "408-586-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 FORTRAN COURT, #136",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95134",
            "telephone_number": "408-586-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA BEHAVIORAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-586-8654",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.