Kimberly Marie Allen

Individual provider Active NPI Case Manager/Care Coordinator · Berkeley, CA

NPI 1689864589 · NPPES record last updated Jul 26, 2007

Key facts

NPI
1689864589
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1255 Allston Way
Berkeley, CA 94702-1833
Phone
(510) 647-0709
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Youth Alternatives Past
since May 21, 2023
Accepting new patients
Berkeley Youth Alternatives Past
since Mar 24, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1255 Allston Way
Berkeley, CA 94702-1833

Mailing address

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 647-0709

Other providers in Berkeley, CA

All providers in Berkeley, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.