BCRC, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BCRC, INC.

Practice address

521 Boden Way
Oakland, CA 94610-3609

Phone

(510) 815-2512

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Regene M Perry

Title

Operating Manager

Phone

(510) 815-2512

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1548022023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 OVERMOOR ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055463",
            "telephone_number": "510-815-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BODEN WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103609",
            "telephone_number": "510-815-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCRC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "REGENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "510-815-2512"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 29, 2024; 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.