Organization Active NPI

Berkeley Addiction Treatment Services

  • Non-Pharmacy Dispensing Site
  • Berkeley, CA
National Provider Identifier
1497940134
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
01/90 Issued in CA
Legal business name
BERKELEY ADDICTION TREATMENT SERVICES
Practice address
2975 Sacramento St
Berkeley, CA 94702-2534
Phone
(510) 644-0200
Fax
(510) 644-2044
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Ms. Matonia Williams
Title
Executive Director
Phone
(510) 644-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 01/90 CA Primary

Addresses

Primary practice location

2975 Sacramento St
Berkeley, CA 94702-2534

Mailing address

2975 Sacramento St
Berkeley, CA 94702-2534
Phone (510) 644-0200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1104143Berkeley Addiction Treatment Services2975 Sacramento St, Berkeley, CA 94702Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Berkeley Addiction Treatment Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2975 Sacramento St
Berkeley, CA 94702
Phone (510) 644-0200

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1497940134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022534",
            "telephone_number": "510-644-0200",
            "fax_number": "510-644-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022534",
            "telephone_number": "510-644-0200",
            "fax_number": "510-644-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY ADDICTION TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATONIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-644-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "01/90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.