| City Of Berkeley | |
|
2640 Martin Luther King Jr Way Berkeley CA 94704-3238 | |
| (510) 981-5290 | |
| (510) 596-9299 |
| Full Name | City Of Berkeley |
|---|---|
| Speciality | Clinic/Center |
| Location | 2640 Martin Luther King Jr Way, Berkeley, California |
| Authorized Official Name and Position | Yvette Katuala (MENTAL HEALTH ASSISTANT MANAGER) |
| Authorized Official Contact | 5109817654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Berkeley 3282 Adeline St Berkeley CA 94703-2439 Ph: (510) 981-5280 | City Of Berkeley 2640 Martin Luther King Jr Way Berkeley CA 94704-3238 Ph: (510) 981-5290 |
| NPI Number | 1689799520 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Medicare PECOS PAC ID | 5294634606 |
|---|---|
| Medicare Enrollment ID | O20170525001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689799520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia J Hennigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053332973 PECOS PAC ID: 8426017443 Enrollment ID: I20041006000425 |
| Provider Name | Jeffrey Fordham Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922096932 PECOS PAC ID: 5799845046 Enrollment ID: I20081117000750 |
| Provider Name | Rebecca L Carrillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003088428 PECOS PAC ID: 9234379108 Enrollment ID: I20130717000654 |
| Provider Name | Terri King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619354321 PECOS PAC ID: 5597176040 Enrollment ID: I20201204001643 |
| Provider Name | Lakeasha Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609218817 PECOS PAC ID: 9032506415 Enrollment ID: I20220504000671 |
| Provider Name | Victor Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447773353 PECOS PAC ID: 6507230836 Enrollment ID: I20230328000675 |
| Provider Name | Lizette Gabriela Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184282998 PECOS PAC ID: 5395186555 Enrollment ID: I20240518000542 |
| Provider Name | Thanh Ha |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982153060 PECOS PAC ID: 3476077975 Enrollment ID: I20250407000531 |
| Provider Name | Allison Mayumi Ikeda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801016555 PECOS PAC ID: 2567986334 Enrollment ID: I20250414002584 |
| Provider Name | Celia Mae Flinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124895040 PECOS PAC ID: 7517486665 Enrollment ID: I20250522000359 |
| Provider Name | Emily Pangilinan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750731816 PECOS PAC ID: 3375062144 Enrollment ID: I20250523002257 |
Martinez Dentention Facility Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 Hopkins St, Berkeley, CA 94707 Phone: 510-525-2614 | |
Bay Children's Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Ashby Ave, Suite 104, Berkeley, CA 94705 Phone: 510-224-4221 Fax: 510-422-1442 | |
Whole Child Psychological Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 6th St, Berkeley, CA 94710 Phone: 510-847-8797 | |
Mental Health & Wellness Now Telehealth, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2081 Center St, Berkeley, CA 94704 Phone: 650-605-3622 | |
Jewish Family & Community Services East Bay Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2484 Shattuck Ave, 210, Berkeley, CA 94704 Phone: 925-927-2000 Fax: 510-704-7494 | |
Pacific Center For Human Growth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Center St Ste 200, Berkeley, CA 94704 Phone: 510-992-6207 | |
Eveline Wu Marriage And Family Therapist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2955 Shattuck Ave Ste 9, Berkeley, CA 94705 Phone: 510-479-0806 |