Organization Active NPI

Saffron Behavioral Health and Psychology

  • Community/Behavioral Health Agency
  • El Cerrito, CA
National Provider Identifier
1790566263
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFFRON BEHAVIORAL HEALTH AND PSYCHOLOGY
Doing business as
Saffron Behavioral Health
Practice address
406 Colusa Ave
El Cerrito, CA 94530-3327
Phone
(510) 913-2232
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Authorized official

Name
Dr. Jaseon Outlaw, PH.DNPI 1861747552
Title
Ceo
Phone
(510) 564-5955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

406 Colusa Ave
El Cerrito, CA 94530-3327

Mailing address

406 Colusa Ave
El Cerrito, CA 94530-3327

Other names 1

  • Saffron Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418003817 CA Part B Supplier - Clinic/Group Practice 7517306871 Receives reassigned benefits from 1 practitioner
Practice locations: El Cerrito, CA

National Provider Directory

National Provider Directory

Locations

406 Colusa Ave
El Cerrito, CA 94530
Phone (510) 725-9240

Practitioners & affiliated clinicians

Practitioners 3

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1790566263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 COLUSA AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 COLUSA AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303327",
            "telephone_number": "510-913-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFFRON BEHAVIORAL HEALTH AND PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "OUTLAW",
        "authorized_official_first_name": "JASEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-564-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saffron Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.