Active NPI
Cecilia Adams
- Behavior Technician
- Oakland, CA
National Provider Identifier
1619470531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 490 43Rd St # 38
Oakland, CA 94609-2138 - Phone
- (510) 900-3103
- NPI assigned
- Mar 16, 2018
- Last updated
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-37251 | CA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
490 43Rd St # 38
Oakland, CA 94609-2138
Mailing address
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (510) 593-0631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Other | CA | BCBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Behavioral Health LLC | Behavior Analyst | Current | Accepting new patients |
| Building Connections Behavioral Health, Inc | Behavior Analyst | Past | Accepting new patients |
Locations
490 43rd St
Oakland, CA 94609
Phone (510) 900-3103
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Oakland, CA
- NPI 1902479520
-
- Behavior Analyst
- Walnut Creek, CA
- NPI 1104368844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1619470531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011188",
"telephone_number": "510-593-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 43RD ST # 38",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092138",
"telephone_number": "510-900-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CECILIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-37251",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBH",
"identifier": "106S00000X",
"state": "CA"
}
],
"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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.