NPIMap

Organization Active NPI

Building Opportunities for Self-Sufficiency

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1497966840
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY
Practice address
711 Harrison St
Berkeley, CA 94710-1313
Phone
(510) 525-8841
Fax
(510) 525-5502
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Boona Cheema
Title
Executive Director
Phone
(510) 649-1930

Specialties & licenses 1

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

Addresses

Primary practice location

711 Harrison St
Berkeley, CA 94710-1313

Mailing address

2065 Kittredge St Ste E
Berkeley, CA 94704-1404
Phone (510) 649-1930

Other identifiers 1

IdentifierTypeStateIssuer
8136OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Harrison House Other name

National Provider Directory

National Provider Directory
Tax ID family
Boss-Ctec13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2065 Kittredge St
Ste E
Berkeley, CA 94704
Phone (510) 649-8174

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1497966840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 KITTREDGE ST STE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041404",
            "telephone_number": "510-649-1930",
            "fax_number": "510-649-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HARRISON ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101313",
            "telephone_number": "510-525-8841",
            "fax_number": "510-525-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "BOONA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-649-1930"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "8136",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 11, 2011; 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.