Anka Bhi Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3002150 Issued in CA

Legal business name

ANKA BHI INC

Practice address

1401 W 4TH St
Antioch, CA 94509-1024

Phone

(925) 778-3750

Fax

(925) 778-7412

NPI assigned

Dec 8, 2009

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Marie Clark, PSYDNPI 1467639690

Title

Program Administrator

Phone

(925) 778-3750

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Marie Clark

  • Mental Health Counselor
  • Antioch, CA
  • NPI 1467639690
  Authorized official Same address or phone

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1578892360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 4TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091024",
            "telephone_number": "925-778-3750",
            "fax_number": "925-778-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 4TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091024",
            "telephone_number": "925-778-3750",
            "fax_number": "925-778-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BHI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "925-778-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "3002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anka Behavioral Health, Inc.
• Anram Care Home LLC (Daphne Care Home)
• Antioch Care DME LLC
• Antioch Dental Care
• Antioch Dental Group F Partovi DDS Inc (Antioch Dental Group)
• Antioch Dunes Healthcare, LLC (Delta View Post Acute)

• Community/Behavioral Health Agency in Antioch, CA
• Providers in Antioch, 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 Dec 8, 2009; 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.