NPIMap

Organization Active NPI

The Autism Impact Circle

  • Behavior Analyst
  • Oakland, CA
National Provider Identifier
1881205110
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE AUTISM IMPACT CIRCLE
Doing business as
The Autism Impact Circle
Practice address
9015 Sage Rd
Oakland, CA 94605-4603
Phone
(831) 331-8529
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Marina Rothway, ED.D., BCBANPI 1134522733
Title
Bcba, LLC Owner
Phone
(831) 331-8529

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9015 Sage Rd
Oakland, CA 94605-4603

Mailing address

201 13TH St # 32491
Oakland, CA 94612-3921
Phone (510) 969-7844

Other names 1

  • The Autism Impact Circle Doing business as

National Provider Directory

National Provider Directory

Locations

201 13th St
Ste 32491
Oakland, CA 94612

201 13th St
#32491
Oakland, CA 94612
Phone (510) 969-7844

904 W Riverside Ave
Ste 1137
Spokane, WA 99201

904 W Riverside Ave
Unit 1137
Spokane, WA 99210

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1881205110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 13TH ST # 32491",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123921",
            "telephone_number": "510-969-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 SAGE RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054603",
            "telephone_number": "831-331-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUTISM IMPACT CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "ROTHWAY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "BCBA, LLC OWNER",
        "authorized_official_telephone_number": "831-331-8529",
        "authorized_official_credential": "ED.D., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Autism Impact Circle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.