CITY OF BERKELEY
NPI 1710429642
Clinic/Center - Mental Health (Including Community Mental Health Center) in Berkeley, CA
About City Of Berkeley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF BERKELEY (NPI 1710429642) is a healthcare organization registered as a mental health (including community mental health center) in Berkeley, California and active in the NPI registry since November 2016. The organization lists Kelly Wallace, Deputy Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
City Of Berkeley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to City Of Berkeley, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 City Of Berkeley's NPI number?
The NPI number for City Of Berkeley is 1710429642. It was assigned to this organization in the NPPES registry on November 9, 2016.
Where is City Of Berkeley located?
City Of Berkeley is located at 1890 Alcatraz Ave, Berkeley, CA 94703. The listed phone number is (510) 981-5280.
What is City Of Berkeley's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is City Of Berkeley enrolled in Medicare?
Yes. City Of Berkeley is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through City Of Berkeley?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 5 Medicare specialties reassign their Medicare billing to City Of Berkeley. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (17), Marriage and Family Therapist (6) and Psychiatry (3). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for City Of Berkeley was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# City Of Berkeley · NPI 1710429642
Mental Health (Including Community Mental Health Center) organization in Berkeley, California. Organization record, active in the CMS NPPES registry since November 9, 2016.
## Identity
- **NPI:** 1710429642 (Entity type: Organization)
- **Enumerated:** November 9, 2016
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kelly Wallace, DEPUTY DIRECTOR
## Practice location
- **Address:** 1890 ALCATRAZ AVE, Berkeley, CA 94703-2715
- **Phone:** (510) 981-5280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (17), Marriage and Family Therapist (6), Psychiatry (3); 26 practice within 10 miles; [full list](https://npiprofile.com/npi/1710429642/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710429642) · Data from the CMS NPPES public registry.