NPIMap

Organization Active NPI

Bay Area Children's Association Menlo

  • Child & Adolescent Psychiatry Physician
  • Menlo Park, CA
National Provider Identifier
1770021495
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
BAY AREA CHILDREN'S ASSOCIATION MENLO
Practice address
1166 El Camino Real
Menlo Park, CA 94025-4308
Phone
(408) 996-7950
NPI assigned
Feb 1, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Child & Adolescent Psychiatry Physician 2084P0804X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1166 El Camino Real
Menlo Park, CA 94025-4308

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Bay Children's Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1166 El Camino Real
Menlo Park, CA 94025

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1770021495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SARATOGA AVE",
            "address_2": "STE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293440",
            "telephone_number": "408-996-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254308",
            "telephone_number": "408-996-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CHILDREN'S ASSOCIATION MENLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-996-7950"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.