Organization Active NPI

Mackinzy Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union City, CA
National Provider Identifier
1649089947
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MACKINZY MENTAL HEALTH CLINIC
Practice address
31080 Union City Blvd Ste 102
Union City, CA 94587-4212
Phone
(510) 938-2289
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Sozana Gbraael
Title
Psychology
Phone
(510) 938-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

31080 Union City Blvd Ste 102
Union City, CA 94587-4212

Mailing address

31080 Union City Blvd Ste 102
Union City, CA 94587-4212
Phone (510) 938-2289

National Provider Directory

National Provider Directory

Locations

31080 Union City Blvd
Ste 102
Union City, CA 94587
Phone (510) 938-2289

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1649089947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31080 UNION CITY BLVD STE 102",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874212",
            "telephone_number": "510-938-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31080 UNION CITY BLVD STE 102",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874212",
            "telephone_number": "510-938-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINZY MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GBRAAEL",
        "authorized_official_first_name": "SOZANA",
        "authorized_official_title_or_position": "PSYCHOLOGY",
        "authorized_official_telephone_number": "510-938-2289"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.