Organization Active NPI

Ann Martin Center

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1609327907
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
140000152 Issued in CA
Legal business name
ANN MARTIN CENTER
Practice address
2629 Harrison St
Oakland, CA 94612-3813
Phone
(510) 655-7880
Fax
(510) 655-3379
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Hasse Leonard-Pagel, PH.D.
Title
Director of Clinical Programs
Phone
(510) 655-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 140000152 CA Primary

Addresses

Primary practice location

2629 Harrison St
Oakland, CA 94612-3813

Mailing address

2629 Harrison St
Oakland, CA 94612-3813
Phone (510) 655-7880

National Provider Directory

National Provider Directory
Tax ID family
Ann Martin Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2629 Harrison St
Oakland, CA 94612
Phone (510) 879-2130

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1609327907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123813",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123813",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARTIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "LEONARD-PAGEL",
        "authorized_official_first_name": "HASSE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "510-655-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "140000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.