City of Berkeley

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CITY OF BERKELEY

Practice address

1980 Allston Way Ste H105
Berkeley, CA 94704-1463

Phone

(510) 644-6258

NPI assigned

Sep 6, 2019

Organization subpart

Yes

Parent organization

CITY OF BERKELEYAs reported in NPPES

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

Authorized official

Name

Jeff Buell, LCSW

Title

Mental Health Division Manager

Phone

(510) 981-5290

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Berkeley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1215963699

  O20170525001891

  Same enrollment
• City of Berkeley

  • Adult Mental Health Clinic/Center
  • Berkeley, CA
  • NPI 1689799520

  O20170525001891

  Same enrollment
• City of Berkeley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1710429642

  O20170525001891

  Same enrollment
• City of Berkeley

  • Adolescent and Children Mental Health Clinic/Center
  • Berkeley, CA
  • NPI 1750415113

  O20170525001891

  Same enrollment
• City of Berkeley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1851833784

  O20170525001891

  Same enrollment

Part of

City of Berkeley Public Health Clinic TB-Iz

Locations

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1952950461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031422",
            "telephone_number": "510-981-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALLSTON WAY STE H105",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041463",
            "telephone_number": "510-644-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BERKELEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BERKELEY",
        "enumeration_date": "2019-09-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MENTAL HEALTH DIVISION MANAGER",
        "authorized_official_telephone_number": "510-981-5290",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Berkeley",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1980 Allston Way Ste H105",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947041463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Berkeley",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1980 Allston Way Ste H105",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947041463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• City of Berkeley
• City of Berkeley
• City of Berkeley
• City of Berkeley
• City of Berkeley
• City of Berkeley Department of Health, Housing & Community Services
• City of Berkeley Fire Dept
• City of Berkeley Public Health Clinic (TB-Iz)
• City of Berkeley Targeted Case Management
• Deborah Claire, RN, DC

• All providers in Berkeley, CA
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.