NPIMap

Organization Active NPI

Ann Martin Center

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1417217365
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
140000152 Issued in CA
Legal business name
ANN MARTIN CENTER
Practice address
401 Jones Ave
Oakland, CA 94603-1123
Phone
(510) 639-3310
Fax
(510) 639-3313
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Hasse Leonard-Pagel, PHD
Title
Director of Clinical Programs
Phone
(510) 655-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 140000152 CA Primary

Addresses

Primary practice location

401 Jones Ave
Oakland, CA 94603-1123

Mailing address

1375 55TH St
Emeryville, CA 94608-2609
Phone (510) 655-7880

Other names 1

  • Brookfield Elementary School Other name

National Provider Directory

National Provider Directory
Tax ID family
Ann Martin Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

401 Jones Ave
Oakland, CA 94603
Phone (510) 352-9200

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1417217365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 55TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082609",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JONES AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946031123",
            "telephone_number": "510-639-3310",
            "fax_number": "510-639-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARTIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "LEONARD-PAGEL",
        "authorized_official_first_name": "HASSE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "510-655-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "140000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookfield Elementary School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 27, 2016; 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.