NPIMap

Organization Active NPI

Tri Valley Haven for Women

  • Community/Behavioral Health Agency
  • Livermore, CA
National Provider Identifier
1790979284
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRI VALLEY HAVEN FOR WOMEN
Practice address
3663 Pacific Ave
Livermore, CA 94550-7062
Phone
(925) 449-5845
Fax
(925) 449-2684
NPI assigned
Aug 28, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Ann Elizabeth King, MSW
Title
Executive Director
Phone
(925) 449-5845

Specialties & licenses 1

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

Addresses

Primary practice location

3663 Pacific Ave
Livermore, CA 94550-7062

Mailing address

3663 Pacific Ave
Livermore, CA 94550-7062
Phone (925) 449-5845

National Provider Directory

National Provider Directory

Locations

3663 Pacific Ave
Livermore, CA 94550
Phone (925) 449-5845

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1790979284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507062",
            "telephone_number": "925-449-5845",
            "fax_number": "925-449-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507062",
            "telephone_number": "925-449-5845",
            "fax_number": "925-449-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI VALLEY HAVEN FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-449-5845",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.