Provider Type Icon

BERKELEY ADDICTION TREATMENT SERVICES NPI 1497940134


NPI Information

NPI: 1497940134
Provider Name: BERKELEY ADDICTION TREATMENT SERVICES
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D2275210

Address:
2975 SACRAMENTO ST
BERKELEY, CA
ZIP 94702
Phone: (510) 644-0200
Get Directions

BERKELEY ADDICTION TREATMENT SERVICES is a non pharmacy dispensing site in Berkeley, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BERKELEY ADDICTION TREATMENT SERVICES NPI is 1497940134. The provider is registered as an organization entity type.

The provider's business location address is:

2975 SACRAMENTO ST
BERKELEY, CA
ZIP 94702-534
Phone: (510) 644-0200
Fax: (510) 644-2044

The provider's authorized official is Matonia Williams .
The authorized official title is Executive Director and has the following contact phone number (510) 644-0200.

The CLIA number assigned to this NPI record is 05D2275210 - other - ambulatory site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site01/90CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.