Bay Area Children First- Berkeley

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

07 00037246 Issued in CA

Legal business name

BAY AREA CHILDREN FIRST- BERKELEY

Practice address

1400 Shattuck Ave
Suite 7
Berkeley, CA 94709-1411

Phone

(510) 883-9312

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Susan Regan, MFT

Title

Executive Director

Phone

(415) 563-4342

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bay Area Children First2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bay Area Children First

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1295935989
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria J. Blanco, LMFT

  • Marriage & Family Therapist
  • Daly City, CA
  • NPI 1982927505
  NPD (past)
• John Charles Roedel, LMFT

  • Marriage & Family Therapist
  • San Leandro, CA
  • NPI 1285833962
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1851591333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SHATTUCK AVE",
            "address_2": "SUITE 7",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SHATTUCK AVE",
            "address_2": "SUITE 7",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091411",
            "telephone_number": "510-883-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CHILDREN FIRST- BERKELEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-563-4342",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "07 00037246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "01BZ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Bautista, AMFT
• Maria Aiza Bautista, LVN
• Myra Bautista, LAC
• Hosein S Bavafa, DDS
• Jenna Bach Baxter, MA, LMFT
• Bay Area Clinical Associates, P.C.
• Bay Area Community Resources, Inc. (Gateway Project - Thousand Oaks)
• Bay Area Community Resources, Inc. (Ruth Acty Elementry)
• Bay Area Community Resources, Inc. (Cragmont Elementary School)
• Bay Area Community Resources, Inc. (Oxford ES)

• Community/Behavioral Health Agency in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.