Individual provider Active NPI

Serkalem Leyikun Mulugeta

  • Behavior Technician
  • Oakland, CA
National Provider Identifier
1740783315
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1999 Harrison St
Oakland, CA 94612-3520
Phone
(916) 597-7166
NPI assigned
Mar 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary
Other Technician 247200000X CA

Addresses

Primary practice location

1999 Harrison St
Oakland, CA 94612-3520

Mailing address

4127 Redwood Rd
Oakland, CA 94619-2329
Phone (510) 703-2353

Other practice location 1

301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451

Other practice location 2

201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451

Other practice location 3

100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451

Other practice location 4

1408 8th St
Alamogordo, NM 88310-5115
Phone (866) 273-2451

Other practice location 5

221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (866) 273-2451

Other practice location 6

2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451

Other practice location 7

21168 E Ocotillo Rd # 1078
Queen Creek, AZ 85142-8175
Phone (866) 273-2451

Other practice location 8

809 W. Riordan Rd. Ste 100, PMB 1113
Flagstaff, AZ 86001-0810
Phone (866) 273-2451

Other practice location 9

2900 E Broadway Blvd Ste 100 #1206
Tucson, AZ 85716-5344
Phone (866) 273-2451

Other practice location 10

186 E Sheldon St # 1119
Prescott, AZ 86301-3114
Phone (866) 273-2451

Other practice location 11

2350 W Highway 89A # 1047
Sedona, AZ 86336-5344
Phone (866) 273-2451

Other practice location 12

201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (866) 273-2451

Other practice location 13

950 W Aztec Ave
Gallup, NM 87301-6666
Phone (866) 273-2451

Other practice location 14

1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451

Other practice location 15

1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451

Other practice location 16

115 E College Blvd
Roswell, NM 88201-5158
Phone (866) 273-2451

Other practice location 17

6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451

Other identifiers 1

IdentifierTypeStateIssuer
955659MedicaidCA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Change Institute, LLC. Behavior Technician Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1740783315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 REDWOOD RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192329",
            "telephone_number": "510-703-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123520",
            "telephone_number": "916-597-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Canyon St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205809",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102168",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Gossett Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874104529",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 8th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105115",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011444",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Alma School Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864400",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21168 E Ocotillo Rd # 1078",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851428175",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 W. Riordan Rd. Ste 100, PMB 1113",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860010810",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 E Broadway Blvd Ste 100 #1206",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857165344",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E Sheldon St # 1119",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863013114",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 W Highway 89A # 1047",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365344",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Las Cruces Ave Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880013488",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Aztec Ave",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873016666",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014199",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Marquez Pl Unit 106B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051833",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E College Blvd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015158",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Americas Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871108172",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULUGETA",
        "first_name": "SERKALEM",
        "middle_name": "LEYIKUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "955659",
            "state": "CA"
        }
    ],
    "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 Apr 8, 2026; 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.