Provider Demographics
NPI:1073804308
Name:AMERICAN COLLEGE OF BEHAVIORAL MEDICINE
Entity Type:Organization
Organization Name:AMERICAN COLLEGE OF BEHAVIORAL MEDICINE
Other - Org Name:ATTENTION AND ACHIEVEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:925-416-1400
Mailing Address - Street 1:4637 CHABOT DR
Mailing Address - Street 2:STE 102
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2805
Mailing Address - Country:US
Mailing Address - Phone:925-416-1400
Mailing Address - Fax:925-416-1410
Practice Address - Street 1:4637 CHABOT DR
Practice Address - Street 2:STE 102
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2805
Practice Address - Country:US
Practice Address - Phone:925-416-1400
Practice Address - Fax:925-416-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17785103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty