Organization Active NPI

Bay Area Clinical Associates, P.C.

  • Child & Adolescent Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1619494044
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
BAY AREA CLINICAL ASSOCIATES, P.C.
Practice address
901 Campisi Way Ste 150
Campbell, CA 95008-2365
Phone
(408) 996-7950
NPI assigned
Aug 25, 2017
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mary Beth Puri, LPCC
Title
Director of Operations
Phone
(208) 250-2724

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

901 Campisi Way Ste 150
Campbell, CA 95008-2365

Mailing address

3010 Colby St Ste 221
Berkeley, CA 94705-2056
Phone (408) 996-7950

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Clinical Associates PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

901 Campisi Way
Ste 150
Campbell, CA 95008
Phone (408) 827-1942

1175 Saratoga Ave
Ste 14
San Jose, CA 95129
Phone (408) 680-8715

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1619494044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 221",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052056",
            "telephone_number": "408-996-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY STE 150",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082365",
            "telephone_number": "408-996-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CLINICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-250-2724",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.