NPIMap

Organization Active NPI

Bay Area Community Resources, Inc

Doing business as MH-Willow HS

  • Community/Behavioral Health Agency
  • Crockett, CA
National Provider Identifier
1780241349
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAY AREA COMMUNITY RESOURCES, INC
Doing business as
MH-Willow HS
Practice address
1650 Crockett Blvd
Crockett, CA 94525-1444
Phone
(510) 787-1286
Fax
(510) 787-2184
NPI assigned
May 20, 2019
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1650 Crockett Blvd
Crockett, CA 94525-1444

Mailing address

11175 San Pablo Ave
El Cerrito, CA 94530-2157
Phone (510) 559-3009

Other names 1

  • MH-Willow HS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Community Resources Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

1650 Crockett Blvd
Crockett, CA 94525
Phone (510) 787-1286

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1780241349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302157",
            "telephone_number": "510-559-3009",
            "fax_number": "510-559-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CROCKETT BLVD",
            "city": "CROCKETT",
            "state": "CA",
            "postal_code": "945251444",
            "telephone_number": "510-787-1286",
            "fax_number": "510-787-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BLASKY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "415-755-2311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MH-Willow HS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MH-Willow HS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crockett, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.