ANKA BEHAVIORAL HEALTH, INC. (NPI# 1316494339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316494339 |
| Entity Type | Organization |
| Organization Name | ANKA BEHAVIORAL HEALTH, INC. |
| Other Organization Name | ANKA PRISCILLA LANE |
| Practice Address |
9555 Priscilla Ln Stockton CA 95212 |
| Mailing Address |
3480 Buskirk Ave Ste 300 Concord CA 94523-4343 |
| Practice Telephone | 2093094575 |
| Practice Fax Number | 2093372117 |
| Mailing Telephone | 9258254700 |
| Mailing Fax Number | 9258252610 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | STEPHEN HAHN-SMITH (VP OF QM) |
| Authorized Official Telephone | 9254296437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Anka Priscilla Lane | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
| 1598181802 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 136 N Taylor Ave, Montebello, CA 90640 | 2014-03-11 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
| 1407272941 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 512 E St Unit B, Antioch, CA 94509 | 2014-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Anka Behavioral Health, Incorporated | 1850 Gateway Boulevard, Suite 900 , Concord, CA 94520 |
| Virginia Business Entity | Anka Behavioral Health, Incorporated | 1850 GATEWAY BLVD. SUITE 900, CONCORD, CA 94520 |
| Street Address |
9555 PRISCILLA LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| 1437560968 | Stephanie Lau | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-05-19 |
| Find all providers in zip 95212 | ||||
| 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 |
|---|---|---|---|---|
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1467950345 | Parents By Choice | Community/Behavioral Health | 306 E Main St Ste 300-312, Stockton, CA 95202-2908 | 2018-01-25 |
| 1033648084 | O'connor Woods Housing Corp | Community/Behavioral Health | 3400 Wagner Heights Rd, Stockton, CA 95209-4843 | 2017-06-05 |
| 1851824882 | Elizabeth Thompson | Community/Behavioral Health | 149 W Stadium Dr, Stockton, CA 95204-3117 | 2017-04-06 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1740731736 | Ger Vang | Community/Behavioral Health | 822 Prospector Dr, Stockton, CA 95210-1442 | 2016-10-14 |
| 1255708855 | Buphant Society | Community/Behavioral Health | 1045 N. Eldorado, 11, Stockton, CA 95202 | 2015-08-31 |
| 1710364823 | Central Valley Center for Community Advocacy, Inc. | Community/Behavioral Health | 20 N. Sutter St., Suite 400, Stockton, CA 95202-2911 | 2015-04-28 |
| 1316221765 | San Joaquin County Child Abuse Prevention Council | Community/Behavioral Health | 540 N California St, Stockton, CA 95202-2117 | 2011-10-04 |
| Find all providers in STOCKTON | ||||
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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.