Berkeley Community Health Project

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BERKELEY COMMUNITY HEALTH PROJECT

Practice address

2339 Durant Ave
Berkeley, CA 94704-1606

Phone

(510) 548-2570

Fax

(510) 548-1730

NPI assigned

Aug 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kevess, M.D.

Title

Medical Director

Phone

(510) 548-2570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1568655256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 DURANT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041606",
            "telephone_number": "510-548-2570",
            "fax_number": "510-548-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 DURANT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041606",
            "telephone_number": "510-548-2570",
            "fax_number": "510-548-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COMMUNITY HEALTH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "KEVESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-548-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4260637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.