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Anka Behavioral Health, Inc.

Organization Active NPI Community/Behavioral Health Agency · Stockton, CA

NPI 1568686830 · NPPES record last updated Jul 3, 2018

Key facts

NPI
1568686830
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ANKA BEHAVIORAL HEALTH, INC.
Practice address
1117 S Grant Street
Stockton, CA 95206
Phone
(209) 461-6500
Fax
(209) 461-6543
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization (as reported)
ANKA BEHAVIORAL HEALTH, INC.

Authorized official

Name
Dr. Nzinga Harrison, MD
Title
Chief Medical Officer
Phone
(925) 825-4700

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Anka Behavioral HLTH (51 organizations share this tax ID)
Part of
Anka Behavioral HLTH

Specialties & licenses

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

Addresses

Primary practice location

1117 S Grant Street
Stockton, CA 95206

Mailing address

3480 Buskirk Ave Ste 300
Pleasant Hill, CA 94523-4343
Phone (925) 825-4700

Other names

  • Grant House Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 3, 2018.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1568686830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234343",
            "telephone_number": "925-825-4700",
            "fax_number": "925-825-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S GRANT STREET",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95206",
            "telephone_number": "209-461-6500",
            "fax_number": "209-461-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANKA BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "NZINGA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "925-825-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

All providers in Stockton, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.