NPIMap

Organization Active NPI

Portia Bell Hume Behavioral Health & Training Center

  • Group Psychotherapy Psychologist
  • Concord, CA
National Provider Identifier
1962054163
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
PORTIA BELL HUME BEHAVIORAL HEALTH & TRAINING CENTER
Practice address
1470 Civic CT Ste 110
Concord, CA 94520-5290
Phone
(925) 825-1793
Fax
(925) 825-7094
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Barbara Parks
Title
Office Operations Manager
Phone
(925) 825-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

1470 Civic CT Ste 110
Concord, CA 94520-5290

Mailing address

1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225
Phone (925) 825-1793

Other identifiers 1

IdentifierTypeStateIssuer
8187MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Portia Bell Hume Behavorial Health and Training Center25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

1470 Civic Ct
Ste 110
Concord, CA 94520
Phone (925) 680-0222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1962054163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205225",
            "telephone_number": "925-825-1793",
            "fax_number": "925-825-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205290",
            "telephone_number": "925-825-1793",
            "fax_number": "925-825-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIA BELL HUME BEHAVIORAL HEALTH & TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "925-825-1793"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.