CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND (NPI# 1144820499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144820499 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE DIOCESE OF OAKLAND |
| Other Organization Name | CATHOLIC CHARITIES EAST BAY |
| Practice Address |
3700 Dorisa Ave Oakland CA 94605-4941 |
| Mailing Address |
433 Jefferson St Oakland CA 94607-3539 |
| Practice Telephone | 5107683100 |
| Practice Fax Number | 5108904917 |
| Mailing Telephone | 5107683100 |
| Mailing Fax Number | 5104516998 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | CHRISTOPHER NERY MARTINEZ (CHIEF PROGRAM OFFICER) |
| Authorized Official Telephone | 5108237517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Catholic Charities East Bay | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962540674 | Catholic Charities of The Diocese of Oakland | Community/Behavioral Health | 433 Jefferson St, Oakland, CA 94607-3539 | 2007-02-02 |
| Street Address |
3700 DORISA AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1093345589 | Quest Programs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5751 Adeline St, Oakland, CA 94608-2815 | 2020-01-23 |
| 1720218266 | Samuel Irving Taylor IIi | Residential Treatment Facility, Emotionally Disturbed Children | 581 63rd St, Oakland, CA 94609-1244 | 2009-07-17 |
| 1801088059 | Lincoln Child Center | Residential Treatment Facility, Emotionally Disturbed Children | 3524 Foothill Blvd Apt 9, Oakland, CA 94601-3644 | 2007-08-13 |
| 1952431462 | Tracy Scott-jefferson | Residential Treatment Facility, Emotionally Disturbed Children | 824 12th St, Oakland, CA 94607-3232 | 2007-03-06 |
| 1326173568 | Seneca Center | Residential Treatment Facility, Emotionally Disturbed Children | 2701 Ivy Dr, Apt. C, Oakland, CA 94606-2172 | 2007-02-21 |
| 1487187951 | Greater New Beginnings Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1625 Filbert St, Oakland, CA 94607-2890 | 2017-04-11 |
| 1336554062 | Refuge | Residential Treatment Facility, Emotionally Disturbed Children | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2014-06-20 |
| 1932343951 | Refuge Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3906 Loma Vista Ave, Oakland, CA 94619-1426 | 2009-04-21 |
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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.