NPIMap

Organization Active NPI

Berkeley Addiction Teratment Services

  • Health Maintenance Organization
  • Berkeley, CA
National Provider Identifier
1942670419
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0190 Issued in CA
Legal business name
BERKELEY ADDICTION TERATMENT SERVICES
Practice address
2975 Sacramento St
Berkeley, CA 94702-2534
Phone
(510) 644-0200
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mark Tishman
Title
Fiscal Officer
Phone
(510) 644-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 0190 CA Primary

Addresses

Primary practice location

2975 Sacramento St
Berkeley, CA 94702-2534

Mailing address

2975 Sacramento St
Berkeley, CA 94702-2534
Phone (510) 644-0200

Other identifiers 1

IdentifierTypeStateIssuer
101YA0400XOtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
Berkeley Addiction Treatment Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1942670419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022534",
            "telephone_number": "510-644-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022534",
            "telephone_number": "510-644-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY ADDICTION TERATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "TISHMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "510-644-0200"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "0190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "101YA0400X",
            "state": "CA"
        }
    ],
    "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 Sep 28, 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.