Pivot Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PIVOT BEHAVIORAL HEALTH LLC

Practice address

490 43Rd St # 38
Oakland, CA 94609-2138

Phone

(510) 900-3103

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Sergio Gustavo Vasquez

Title

Owner

Phone

(501) 356-0473

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cecilia Adams

  • Behavior Technician
  • Oakland, CA
  • NPI 1619470531

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1902479520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 43RD ST # 38",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092138",
            "telephone_number": "510-900-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 43RD ST # 38",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092138",
            "telephone_number": "510-900-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-356-0473"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Denise Pittman
• Sharyce Pittman
• Saxton A. Pitts
• Taylor Pitts, RN
• Gabriela Pivaral, PSYD
• Troy Piwowarski, PSYD
• Danielle Pizzi, LCSW
• Jonass Niks Placitis
• Stephanie Annlee Plahn, M.S.
• Planned Parenthood Golden Gate

• Behavior Analyst in Oakland, CA
• Providers in Oakland, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.