Provider Demographics
NPI:1003095563
Name:BAY CHILDREN'S SERVICES
Entity type:Organization
Organization Name:BAY CHILDREN'S SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TARSHIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-224-4221
Mailing Address - Street 1:3030 ASHBY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2439
Mailing Address - Country:US
Mailing Address - Phone:510-224-4221
Mailing Address - Fax:510-422-1442
Practice Address - Street 1:3030 ASHBY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2439
Practice Address - Country:US
Practice Address - Phone:510-224-4221
Practice Address - Fax:510-422-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty