Ann Martin Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

140000152 Issued in CA

Legal business name

ANN MARTIN CENTER

Practice address

1375 55TH St
Emeryville, CA 94608-2609

Phone

(510) 655-7880

Fax

(510) 655-3379

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hasse Leonard-Pagel, PHD

Title

Director of Clinical Programs

Phone

(510) 655-7880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1992923221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 55TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082609",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 55TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082609",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARTIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "LEONARD-PAGEL",
        "authorized_official_first_name": "HASSE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "510-655-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.