ANKA BEHAVIORAL HEALTH INCORPORATED — NPI 1467811612 (Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children in LAFAYETTE, CA)

CMS-1500 Box 24J / 33a • NPI

1467811612

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

322D00000X

Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children

Box 32 Service Location & ZIP+4

1658 GLEN OAK CT, LAFAYETTE, CA, 94549

Official NPPES Practice Location

Practice Phone & Referral Fax

(925) 825-4700

Fax: (925) 825-2610

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467811612 (ANKA BEHAVIORAL HEALTH INCORPORATED) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467811612` (NPI-2 Organization / Facility)
Provider / Legal Name	ANKA BEHAVIORAL HEALTH INCORPORATED
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: `322D00000X` (Residential Treatment Facility, Emotionally Disturbed Children)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1658 GLEN OAK CT, LAFAYETTE, CA, 94549
Practice Telephone / Fax	Tel: (925) 825-4700 \| Fax: (925) 825-2610
Administrative Mailing Address	3480 BUSKIRK AVE STE 300, PLEASANT HILL, CA, 94523-4343
Enumeration & Last Sync	Enumerated: 2016-02-16 \| CMS Record Updated: 2018-07-03
Authorized Official	STEPHEN HAHN-SMITH (VP of Quality Management)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1658 GLEN OAK CT, LAFAYETTE, CA, 94549

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Plain-English Taxonomy & CMS Crosswalk (322D00000X)

What Does Taxonomy Code 322D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Residential Treatment Facility, Emotionally Disturbed Children for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANKA BEHAVIORAL HEALTH INCORPORATED)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`320800000X` — Community Based Residential Treatment Facility, Mental Illness Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANKA BEHAVIORAL HEALTH INCORPORATED (NPI #1467811612)