SENECA FAMILY OF AGENCIES (NPI# 1164640702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164640702 |
| Entity Type | Organization |
| Organization Name | SENECA FAMILY OF AGENCIES |
| Other Organization Name | SOLANO FAMILY SUPPORT PROGRAM |
| Practice Address |
1234 Empire St Fairfield CA 94533-5711 |
| Mailing Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
| Practice Telephone | 5103171444 |
| Mailing Telephone | 5106544004 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | SANDY HOBSON (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Telephone | 5107255727 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENECA FAMILY OF AGENCIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0015 | 05 |
| Other Name | Type Code |
|---|---|
| Solano Family Support Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1144878471 | Seneca Family of Agencies | Community/Behavioral Health | 575 W Fremont Ave, Sunnyvale, CA 94087-2556 | 2019-08-29 |
| 1902454226 | Seneca Family of Agencies | Community/Behavioral Health | 401 W Hamilton Ave, Campbell, CA 95008-0509 | 2019-08-29 |
| 1043866817 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 3710 Bodega Ave, Petaluma, CA 94952-8015 | 2019-08-16 |
| 1013489053 | Seneca Family of Agencies | Community/Behavioral Health | 383 1st St, Gilroy, CA 95020-5028 | 2018-12-31 |
| 1902381098 | Seneca Family of Agencies | Community/Behavioral Health | 951 Oconnor St, East Palo Alto, CA 94303-2022 | 2018-09-25 |
| 1699258368 | Seneca Family of Agencies | Community/Behavioral Health | 2711 Maricopa Ave, Richmond, CA 94804-1006 | 2018-09-10 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SENECA FAMILY OF AGENCIES | 3438 S 148th St, Tukwila, WA 98168-4319 |
| Oregon Corporations, Companies and Business Names | SENECA FAMILY OF AGENCIES | 6925 Chabot Rd, Oakland, CA 94605 |
| Street Address |
1234 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215024591 | Henry H Collins | Pediatrics | 1234 Empire St, Fairfield, CA 94533-5711 | 2006-10-06 |
| 1144870304 | Diandria Aliysha Donaldson | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2019-09-18 |
| 1790265833 | Yasmina Ehab Bazaraa | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-08-17 |
| 1730686171 | Miarah Jones | Counselor | 1234 Empire St, Fairfield, CA 94533 | 2018-04-11 |
| 1609376920 | Roxanne Michelle Rodeznomedearis | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2018-02-13 |
| 1255882577 | Amanda Raquel Portillo | Marriage & Family Therapist | 1234 Empire St, Suite 2300, Fairfield, CA 94533-5711 | 2016-10-21 |
| 1699224659 | Melissa Mae Torrez | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-09-30 |
| 1144680513 | Kevin Anderson | Marriage & Family Therapist | 1234 Empire St, Fairfield, CA 94533-5711 | 2016-02-29 |
| 1194198580 | Camilia Kaye Shoulders | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-11-05 |
| 1770959181 | Rosemary O'leary | Counselor | 1234 Empire St, Fairfield, CA 94533-5711 | 2015-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1891280368 | Jennifer Jasmine Aguilar | Community/Behavioral Health | 2357 Morrison Ln, Fairfield, CA 94534-9746 | 2018-06-27 |
| 1184071714 | Bridging The Gap Holistic Services, LLC | Community/Behavioral Health | 3238 Village Dr, Fairfield, OH 45014-8119 | 2016-05-24 |
| 1104289594 | Center for Childrens Behavioral Health Incorporated | Community/Behavioral Health | 356 Horseneck Rd, Fairfield, NJ 07004-1610 | 2016-04-01 |
| 1619341153 | Summit Counseling Services, Pllc | Community/Behavioral Health | 201 1st Ave N, Fairfield, MT 59436 | 2015-11-20 |
| 1528450301 | Judy Elizabeth Mcclure | Community/Behavioral Health | 808 N 4th St, Fairfield, IA 52556-2203 | 2015-03-03 |
| 1326397019 | Franz Rudas | Community/Behavioral Health | 644 Antiquity Dr, Fairfield, CA 94534-4050 | 2012-09-10 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1821309980 | Fedcap Rehabilitation Services, Inc. | Community/Behavioral Health | 373 Route 46 W, Bldg. D Suite 110, Fairfield, NJ 07004-2442 | 2010-06-23 |
| 1275760282 | Family Preservation Services, Inc. | Community/Behavioral Health | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2009-06-17 |
| Find all providers in FAIRFIELD | ||||
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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.