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BERKELEY MENTAL HEALTH
NPI 1164785994
Community/Behavioral Health in Berkeley, CA

Active since June 18, 2012CLIA 05D2061097 · Waiver
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-7641 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Berkeley Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERKELEY MENTAL HEALTH (NPI 1164785994) is a healthcare organization registered as a community/behavioral health in Berkeley, California and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Tenli Yavneh, Mental Health Program Supervisor, as its authorized official.

NPPES Registry Identity

NPI1164785994
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBERKELEY MENTAL HEALTH
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238
Phone(510) 981-7641
Organization SubpartNo
Authorized OfficialTenli YavnehMental Health Program Supervisor · (510) 981-7641
Enumeration DateJune 18, 2012
✔ NPI 1164785994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2061097

Berkeley Mental Health · Berkeley, CA
Active · expires Jun 20, 2027
CLIA Number05D2061097
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorJeffrey F. Johns MD
Laboratory Phone(510) 981-5290
Laboratory LocationBerkeley Mental Health2640 Martin Luther King Jr Way, Berkeley, CA 94704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berkeley Mental Health's NPI number?

The NPI number for Berkeley Mental Health is 1164785994. It was assigned to this organization in the NPPES registry on June 18, 2012.

Where is Berkeley Mental Health located?

Berkeley Mental Health is located at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-7641.

What is Berkeley Mental Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Berkeley Mental Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2061097) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Berkeley Mental Health was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.