| Health, Housing & Community Services | |
|
2640 Martin Luther King Jr Way Berkeley CA 94704-3238 | |
| (510) 981-5290 | |
| (510) 596-9299 |
| Full Name | Health, Housing & Community Services |
|---|---|
| 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 |
|---|---|
| Health, Housing & Community Services 3282 Adeline St Berkeley CA 94703-2439 Ph: (510) 981-5280 | Health, Housing & Community Services 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 | Fawn Downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215005350 PECOS PAC ID: 7517038227 Enrollment ID: I20080623000555 |
| Provider Name | Jeffrey Fordham Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922096932 PECOS PAC ID: 5799845046 Enrollment ID: I20081117000750 |
| Provider Name | Alberto Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801083605 PECOS PAC ID: 1759541386 Enrollment ID: I20120319000819 |
| Provider Name | Angela Marie Betti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780736280 PECOS PAC ID: 1456504778 Enrollment ID: I20130116000341 |
| Provider Name | Rebecca L Carrillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003088428 PECOS PAC ID: 9234379108 Enrollment ID: I20130717000654 |
| Provider Name | Allyson Nakayama |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962613299 PECOS PAC ID: 5294968319 Enrollment ID: I20140425000542 |
| Provider Name | Lisa Frierson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629419627 PECOS PAC ID: 4688948573 Enrollment ID: I20170915000841 |
| Provider Name | Jeffrey Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700026101 PECOS PAC ID: 2567725138 Enrollment ID: I20180412001095 |
| Provider Name | Susanne Snowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932482684 PECOS PAC ID: 4284998808 Enrollment ID: I20180508001413 |
| Provider Name | Xavier Octavio Jurado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164618997 PECOS PAC ID: 9234489931 Enrollment ID: I20180829004553 |
| Provider Name | Medisa Payvarpour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386876241 PECOS PAC ID: 4981020666 Enrollment ID: I20200812000477 |
| Provider Name | Terri King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619354321 PECOS PAC ID: 5597176040 Enrollment ID: I20201204001643 |
| Provider Name | Sandra Julia Lucero Po |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891161212 PECOS PAC ID: 9032526785 Enrollment ID: I20210325001804 |
| Provider Name | Tiffani K Parrish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134400591 PECOS PAC ID: 9830592591 Enrollment ID: I20210720000251 |
| Provider Name | Harbir S Walia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790244044 PECOS PAC ID: 1951796564 Enrollment ID: I20220317001925 |
| 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 | Jacquelyn Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548743180 PECOS PAC ID: 2769849959 Enrollment ID: I20230602001068 |
| Provider Name | Lizette Gabriela Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184282998 PECOS PAC ID: 5395186555 Enrollment ID: I20240518000542 |
Contra Costa County 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 | |
Bay Area Center For Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Shattuck Ave Ste E, Berkeley, CA 94705 Phone: 510-649-9663 | |
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 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Center St Ste 200, Berkeley, CA 94704 Phone: 510-992-6207 |