Active NPI
Saffron Behavioral Health and Psychology
- Community/Behavioral Health Agency
- El Cerrito, CA
National Provider Identifier
1790566263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaseon Outlaw, PH.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- San Leandro, CA
- NPI 1861747552
-
- Clinical Psychologist
- Albany, CA
- NPI 1497819825
-
- Clinical Social Worker
- El Cerrito, CA
- NPI 1174628598
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.