NPIMap

Organization Active NPI

Bay Area Children'S Association Oakland

  • Child & Adolescent Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1710397369
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
BAY AREA CHILDREN'S ASSOCIATION OAKLAND
Practice address
111 Myrtle St
Suite 300
Oakland, CA 94607-2525
Phone
(510) 922-9757
Fax
(510) 922-9514
NPI assigned
May 5, 2014
Organization subpart
Yes
Parent organization
BAY AREA CHILDREN'S ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Brandi Muniz
Title
Director Operations
Phone
(408) 996-7950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X CA
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X CA Primary

Addresses

Primary practice location

111 Myrtle St
Suite 300
Oakland, CA 94607-2525

Mailing address

1175 Saratoga Ave
Suite 14
San Jose, CA 95129-3440
Phone (408) 996-7950

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Children'S Association Menlo4 organizations share this tax ID, including this one
Part of
Bay Area Children'S Association Menlo

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1710397369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SARATOGA AVE",
            "address_2": "SUITE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293440",
            "telephone_number": "408-996-7950",
            "fax_number": "408-996-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST",
            "address_2": "SUITE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072525",
            "telephone_number": "510-922-9757",
            "fax_number": "510-922-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CHILDREN'S ASSOCIATION OAKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA CHILDREN'S ASSOCIATION",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "408-996-7950"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.