Organization Active NPI

Ujima Central Mothers Program

  • Addiction (Substance Use Disorder) Counselor
  • Concord, CA
National Provider Identifier
1750710620
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
UJIMA CENTRAL MOTHERS PROGRAM
Practice address
2975 Treat Blvd Ste B5
Concord, CA 94518-3687
Phone
(925) 691-5083
Fax
(925) 691-5369
NPI assigned
Nov 1, 2013
Organization subpart
Yes
Parent organization
UJIMA FAMILY RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Ms. Rita B Schank, MPANPI 1982236717
Title
Executive Director
Phone
(510) 236-3139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2975 Treat Blvd Ste B5
Concord, CA 94518-3687

Mailing address

2975 Treat Blvd Ste B5
Concord, CA 94518-3687
Phone (925) 691-5083

National Provider Directory

National Provider Directory
Tax ID family
Ujima West17 organizations share this tax ID, including this one
Part of
Ujima West

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1750710620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD STE B5",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183687",
            "telephone_number": "925-691-5083",
            "fax_number": "925-691-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD STE B5",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183687",
            "telephone_number": "925-691-5083",
            "fax_number": "925-691-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJIMA CENTRAL MOTHERS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UJIMA FAMILY RECOVERY SERVICES",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHANK",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-236-3139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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 Nov 1, 2013; 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.