BERKELEY YOUTH ALTERNATIVES (NPI# 1275724742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275724742 |
| Entity Type | Organization |
| Organization Name | BERKELEY YOUTH ALTERNATIVES |
| Practice Address |
1255 Allston Way Berkeley CA 94702-1833 |
| Practice Telephone | 5108459010 |
| Mailing Telephone | 5108459010 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | NICULIA WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5106470714 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BERKELEY YOUTH ALTERNATIVES | 1255 Allston Way, Berkeley, CA 94702-1833 |
| Street Address |
1255 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902960305 | Sherry-lynn Sarmiento Fahey | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2006-12-20 |
| 1346855277 | David Raphael Alcala | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-08 |
| 1104430685 | Michael Olawuyi Olawuni | Marriage & Family Therapist | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-09-02 |
| 1508477803 | Mari Nicole Colbert | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-08-11 |
| 1225665276 | Simone Dasilva | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-26 |
| 1518593383 | Alanna Javier | Counselor | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-03-12 |
| 1336789940 | Nicolette Boudreaux Wilkenfeld | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2020-01-11 |
| 1982256624 | Milan Drake | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-07-12 |
| 1548724461 | Julie Sunrise Cowles | Social Worker | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-24 |
| 1306319587 | Abbysinia Wincher | Student in an Organized Health Care Education/Training Program | 1255 Allston Way, Berkeley, CA 94702-1833 | 2019-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435023 | Shuni Inc | Community/Behavioral Health | 2120 University Ave, Berkeley, CA 94704-1026 | 2020-07-27 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1396205068 | Supportiv | Community/Behavioral Health | 2222 Harold Way, Berkeley, CA 94704-1425 | 2019-03-20 |
| 1336628338 | Satellite Affordable Housing Associates | Community/Behavioral Health | 3240 Sacramento St, Berkeley, CA 94702-2740 | 2018-08-09 |
| 1831602457 | Options Recovery Services | Community/Behavioral Health | 3331 King St, Berkeley, CA 94703-2647 | 2017-11-06 |
| 1497268072 | Options Recovery Services | Community/Behavioral Health | 1845 Addison St, Berkeley, CA 94703-1503 | 2017-11-06 |
| 1124557046 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2425 Stuart St, Berkeley, CA 94705-1115 | 2017-06-05 |
| 1205362811 | County of Alameda | Community/Behavioral Health | 2015 Virginia St Rm 102, Berkeley, CA 94709-2229 | 2017-05-03 |
| 1144687435 | Ste Consultants | Community/Behavioral Health | 2560 9th St Ste 220, Berkeley, CA 94710-2565 | 2016-01-19 |
| 1144628363 | Berkeley Addiction Treatment Services | Community/Behavioral Health | 2798 Sacramento St, Berkeley, CA 94702-2337 | 2014-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.