ROOSEVELT SCHOOL-BASED BEHAVIORAL HEALTH (NPI# 1003340738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003340738 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT SCHOOL-BASED BEHAVIORAL HEALTH |
| Practice Address |
1926 E 19th St Oakland CA 94606-4126 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 5105354000 |
| Mailing Telephone | (510) 535-4000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | JANE GARCIA (CEO) |
| Authorized Official Telephone | 5105354000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LA CLINICA DE LA RAZA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES | 01QQ1 | 01 |
| Street Address |
1926 E 19TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203860 | Valda Jean Dounveor | Counselor | 1926 E 19th St, Oakland, CA 94606-4126 | 2013-05-28 |
| 1629623152 | East Bay Agency for Children | Community/Behavioral Health | 1926 E 19th St, Oakland, CA 94606 | 2019-08-01 |
| 1740773902 | Oakland Unified School District | Local Education Agency (LEA) | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-06-12 |
| 1093207581 | Haewon Asfaw | Student in an Organized Health Care Education/Training Program | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-05-31 |
| 1285125906 | A Better Way, Inc | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669773008 | La Clinica De La Raza, Inc. | Clinic/Center | 3709 E 12th St, Oakland, CA 94601-4001 | 2010-11-16 |
| 1619177300 | Children's Hospital & Research Center At Oakland | Clinic/Center | 770 53rd St, Oakland, CA 94609 | 2007-07-20 |
| 1306329842 | Tammy Lynette Cloud | Clinic/Center | 8711 Macarthur Blvd, Oakland, CA 94605-4000 | 2018-09-11 |
| 1285125906 | A Better Way, Inc | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-05-29 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1255691036 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94609 | 2012-05-25 |
| 1881954725 | Child Assessment and Transition Services (cats) | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2012-05-25 |
| 1013105246 | The Alliance for Community Wellness | Clinic/Center | 3315 International Blvd, Oakland, CA 94601-3005 | 2007-10-12 |
| 1710177803 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave., Oakland, CA 94609 | 2007-07-26 |
| 1245430016 | Behavior Emergency Response Team | Clinic/Center | 747 52nd St, Oakland, CA 94609-1809 | 2007-07-20 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.