BONITA HOUSE, INC.
NPI 1760697312
Community/Behavioral Health in Berkeley, CA

Q: What is Bonita House, Inc.'s NPI number?

The NPI number for Bonita House, Inc. is 1760697312. It was assigned to this organization in the NPPES registry on May 14, 2007.

Q: What is Bonita House, Inc.'s specialty?

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

Active since May 14, 2007

1410 BONITA AVE, BERKELEY, CA 94709(510) 526-4765 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2023, May 4, 2023, Aug 22, 2020 (3 updates tracked since 2020).

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About Bonita House, Inc. NPPES

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

BONITA HOUSE, INC. (NPI 1760697312) is a healthcare organization registered as a community/behavioral health in Berkeley, California and active in the NPI registry since May 2007. The organization lists Rick R Crispino, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760697312

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBONITA HOUSE, INC.

Location Address1410 BONITA AVEBerkeley, CA 94709-1909

Mailing Address6333 Telegraph Ave, Suite 102Oakland, CA 94609-1359 · (510) 923-1099

Phone(510) 526-4765

Organization SubpartNo

Authorized OfficialRick R CrispinoExecutive Director · (510) 923-1099

Enumeration DateMay 14, 2007

Last NPPES UpdateMay 4, 20233 updates tracked since enumeration

NPPES CertifiedMay 4, 2023

✔ NPI 1760697312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · 81492

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.

1410 BONITA AVE, Berkeley, CA 94709

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Other Identifiers 1

Medicaid81492CA

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.

ALYSSA LEE JETMORE

Community Health Worker