NPIMap

Organization Active NPI

Behavior Reimagined, LLC

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1831575463
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-11-9525 Issued in CA
Legal business name
BEHAVIOR REIMAGINED, LLC
Practice address
2201 Woolsey St
Berkeley, CA 94705-1832
Phone
(317) 989-9980
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Jennifer Cowherd, BCBANPI 1881966141
Title
President
Phone
(317) 989-9980

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-11-9525 CA Primary

Addresses

Primary practice location

2201 Woolsey St
Berkeley, CA 94705-1832

Mailing address

2201 Woolsey St
Berkeley, CA 94705-1832
Phone (317) 989-9980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1831575463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WOOLSEY ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051832",
            "telephone_number": "317-989-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WOOLSEY ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051832",
            "telephone_number": "317-989-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR REIMAGINED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "COWHERD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-989-9980",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-11-9525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.