MEDICARE: MENTAL HEALTH ASSOCIATION OF ALAMEDA COUNTY

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
1	251S00000X	Community/Behavioral Health Agency
2	251S00000X	Community/Behavioral Health Agency	251S00000X	CA

General Provider Information

NPI Number	:	1346483872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH ASSOCIATION OF ALAMEDA COUNTY

Provider Business Mailing Address
First Line	:	2855 TELEGRAPH AVE STE 509
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1151
Country	:	US
Telephone Number	:	510-835-5010
Fax Number	:	510-653-4207

Provider Business Practice Location Address
First Line	:	2855 TELEGRAPH AVE STE 509
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1151
Country	:	US
Telephone Number	:	510-835-5010
Fax Number	:	510-653-4207

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. KATHRYN HUBER
Credential	:
Telephone Number	:	510-835-5010

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	11/12/2024

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