Organization Active NPI

Contra Costa MH Wellness Center

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1700405255
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CONTRA COSTA MH WELLNESS CENTER
Practice address
1320 Willow Pass Rd Ste 600
Concord, CA 94520-5292
Phone
(800) 619-8154
Fax
(800) 619-8154
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Mr. John Charles Bieda Jr., MFT
Title
Clinical Director
Phone
(800) 619-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1320 Willow Pass Rd Ste 600
Concord, CA 94520-5292

Mailing address

1320 Willow Pass Rd Ste 600
Concord, CA 94520-5292
Phone (800) 619-8154

Other practice location 1

3101 Telegraph Ave
Berkeley, CA 94705-1984
Phone (800) 619-8154

National Provider Directory

National Provider Directory

Locations

3101 Telegraph Ave
Berkeley, CA 94705
Phone (510) 280-5543

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1700405255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WILLOW PASS RD STE 600",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205292",
            "telephone_number": "800-619-8154",
            "fax_number": "800-619-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WILLOW PASS RD STE 600",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205292",
            "telephone_number": "800-619-8154",
            "fax_number": "800-619-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947051984",
            "country_code": "US",
            "telephone_number": "800-619-8154",
            "fax_number": "800-619-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTRA COSTA MH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "BIEDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "800-619-8154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.