Active NPI
Meraki Holistic Healing
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1982069423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 90954
- Legal business name
- MERAKI HOLISTIC HEALING
- Practice address
- 445 Bellevue Ave
Oakland, CA 94610-4923 - Phone
- (510) 463-4582
- NPI assigned
- Dec 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deanna M Jimenez, LMFT
- Title
- Sole Proprietor
- Phone
- (510) 463-4582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 90954 | CA | Primary |
Addresses
Primary practice location
445 Bellevue Ave
Oakland, CA 94610-4923
Mailing address
PO Box 10802
Oakland, CA 94610-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
445 Bellevue Ave
Oakland, CA 94610
Phone (510) 463-4582
490 Lake Park Ave
Unit 10802
Oakland, CA 94610
Phone (510) 463-4582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1982069423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10802",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946100802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104923",
"telephone_number": "510-463-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERAKI HOLISTIC HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "510-463-4582",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "90954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.