Active NPI
Berkeley Addiction Treatment Services
- Non-Pharmacy Dispensing Site
- Berkeley, CA
National Provider Identifier
1497940134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 01/90
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1104143 | Berkeley Addiction Treatment Services | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Berkeley Addiction Treatment Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1316320260
-
- Health Maintenance Organization
- Berkeley, CA
- NPI 1942670419
-
- Methadone Clinic
- Berkeley, CA
- NPI 1598956757
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1144628363
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
- Berkeley Acupuncture Project of California
- Berkeley Acupuncture Project, P.C.
- Berkeley Addiction Teratment Services
- Berkeley Addiction Treatment Serivces
- Berkeley Addiction Treatment Services
- Berkeley Analytics
- Berkeley Bone Imaging, LLC
- Berkeley Chiropractic Clinic
- Berkeley Community Health Project
- Berkeley Community Physical Therapy Inc
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.