NPIMap

Organization Active NPI

Seneca Family of Agencies

Doing business as Berkeley High

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1942590120
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SENECA FAMILY OF AGENCIES
Doing business as
Berkeley High
Practice address
1980 Allston Way BLDG C
Classroom C116, C134. C132. C338
Berkeley, CA 94704-1463
Phone
(510) 317-1444
NPI assigned
Apr 9, 2011
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Sandy Hobson
Title
Quality Assurance Director
Phone
(510) 725-5727

Specialties & licenses 1

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

Addresses

Primary practice location

1980 Allston Way BLDG C
Classroom C116, C134. C132. C338
Berkeley, CA 94704-1463

Mailing address

6925 Chabot Rd
Oakland, CA 94618-1921
Phone (510) 654-4004

Other practice location 1

2223 Martin Luther King Jr Way
Berkeley, CA 94704-1437
Phone (510) 317-1444

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Berkeley High Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000017 CA Part B Supplier - Clinic/Group Practice 7416145594 Receives reassigned benefits from 4 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Oakland, CA; Redlands, CA; Richmond, CA; Salinas, CA; San Francisco, CA; San Jose, CA; San Leandro, CA; San Rafael, CA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2290661Berkeley High School Health Center1980 Allston Way, H-105, Berkeley, CA 94704Provider-performed microscopySep 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Seneca Center CTF149 organizations share this tax ID, including this one
Part of
Seneca Center CTF

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

1980 Allston Way
Bldg C
Berkeley, CA 94704

2223 Martin Luther King Jr Way
Berkeley, CA 94704
Phone (510) 499-1487

NPI Registry JSON

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1942590120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 CHABOT RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181921",
            "telephone_number": "510-654-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALLSTON WAY BLDG C",
            "address_2": "CLASSROOM C116, C134. C132. C338",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041463",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041437",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2011-04-09",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "510-725-5727"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley High",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.