NPIMap

Organization Active NPI

Portia Bell Hume Behavorial Health and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dublin, CA
National Provider Identifier
1669800108
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
140000462 Issued in CA
Legal business name
PORTIA BELL HUME BEHAVORIAL HEALTH AND TRAINING CENTER
Practice address
3601 Kohnen Way
Dublin, CA 94568-8751
Phone
(925) 223-8047
Fax
(925) 223-8048
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Joty Sikand, PSY. D.
Title
President
Phone
(925) 825-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 140000462 CA Primary

Addresses

Primary practice location

3601 Kohnen Way
Dublin, CA 94568-8751

Mailing address

1333 Willow Pass Rd
Suite 102
Concord, CA 94520-7930
Phone (925) 825-1793

Other identifiers 1

IdentifierTypeStateIssuer
8187MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Portia Bell Hume Behavorial Health and Training Center25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

3601 Kohnen Way
Dublin, CA 94568
Phone (925) 223-8047

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1669800108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "925-825-1793",
            "fax_number": "925-825-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 KOHNEN WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688751",
            "telephone_number": "925-223-8047",
            "fax_number": "925-223-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIA BELL HUME BEHAVORIAL HEALTH AND TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "SIKAND",
        "authorized_official_first_name": "JOTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-825-1793",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "140000462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.