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NPI Code Detail

MEDICARE: A BETTER WAY, INC.

MEDICARE: A BETTER WAY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285125906
Entity Type Code : Organization
Provider Name (Legal Business Name) : A BETTER WAY, INC.
Provider Business Mailing Address
First Line : 3200 ADELINE ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2407
Country : US
Telephone Number : 510-601-0203
Fax Number : 510-601-4002
Provider Business Practice Location Address
First Line : 1926 E 19TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4126
Country : US
Telephone Number : 510-207-8825
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DAVID DONALD CHANNER
Credential : LCSW
Telephone Number : 510-207-8825
Provider Enumeration Date : 05/29/2018
Last Update Date : 10/10/2024

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