NPIMap

Organization Active NPI

Anka Behavioral Health, Inc.

Doing business as Grant House

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1568686830
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANKA BEHAVIORAL HEALTH, INC.
Doing business as
Grant House
Practice address
1117 S Grant Street
Stockton, CA 95206
Phone
(209) 461-6500
Fax
(209) 461-6543
NPI assigned
Apr 11, 2007
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ANKA BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Grant House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anka Behavorial Health Inc51 organizations share this tax ID, including this one
Part of
Anka Behavorial Health Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.