Asian Community Mental Health Board

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

140000206 Issued in CA

Legal business name

ASIAN COMMUNITY MENTAL HEALTH BOARD

Doing business as

Asian Community Mental Health Services

Practice address

4521 Webster St
Oakland International High School
Oakland, CA 94609-2140

Phone

(510) 879-2142

Fax

(510) 879-2143

NPI assigned

Aug 13, 2010

Last updated

Apr 1, 2014By 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

Mr. Philip Sun

Title

Executive Director

Phone

(281) 794-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Asian Community Mental Health Services Doing business as

Locations

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1669787735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH ST",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076526",
            "telephone_number": "510-451-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 WEBSTER ST",
            "address_2": "OAKLAND INTERNATIONAL HIGH SCHOOL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092140",
            "telephone_number": "510-879-2142",
            "fax_number": "510-879-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN COMMUNITY MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-794-7888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "140000206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Community Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Gabriella Ashley
• Soha Ashraf, APCC
• George Bitu Ashu, DO
• Asian Angel LLC
• Asian Community Mental Health Board (Asian Community Mental Health Services)
• Asian Community Mental Health Board (Asian Community Mental Health Services)
• Asian Community Mental Health Services
• Asian Health Services
• Asian Health Services
• Asian Health Services

• Community/Behavioral Health Agency in Oakland, CA
• Providers in Oakland, 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 Apr 1, 2014; 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.