THE WEST OAKLAND HEALTH COUNCIL (NPI# 1164973491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973491 |
| Entity Type | Organization |
| Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
| Practice Address |
8251 Fontaine St Oakland CA 94605-4109 |
| Mailing Address |
7501 International Blvd Oakland CA 94621-2843 |
| Practice Telephone | 5106367992 |
| Mailing Telephone | 5107298800 |
| Mailing Fax Number | 5105694965 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | MR. BENJAMIN F. PETTUS (CEO) |
| Authorized Official Telephone | 5108359610 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE WEST OAKLAND HEALTH COUNCIL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982841938 | The West Oakland Health Council | Clinic/Center | 3007 Telegraph Ave # B, Options for Recovery, Oakland, CA 94609-3205 | 2009-01-13 |
| 1689825366 | The West Oakland Health Council | Clinic/Center | 2730 Adeline Street, Oakland, CA 94607 | 2008-10-01 |
| 1235352444 | The West Oakland Health Council | Substance Abuse Rehabilitation Facility | 451 28th St, Oakland, CA 94609-3602 | 2007-04-10 |
| 1508987652 | The West Oakland Health Council | Clinic/Center | 7501 International Blvd, Oakland, CA 94621 | 2007-04-03 |
| 1679522627 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2006-05-08 |
| 1528540838 | The West Oakland Health Council | Pharmacy | 7450 International Blvd, Oakland, CA 94621-2806 | 2018-09-04 |
| 1174873350 | The West Oakland Health Council | Community/Behavioral Health | 960 10th St, Oakland, CA 94607-3106 | 2012-09-14 |
| 1073750022 | The West Oakland Health Council | Clinic/Center | 451 28th St, Community Recovery Center West, Oakland, CA 94609-3602 | 2009-01-13 |
| 1073769402 | The West Oakland Health Council | Public Health or Welfare | 3007 Telegraph Ave, Oakland, CA 94609-3205 | 2008-08-18 |
| 1568583789 | The West Oakland Health Council | Clinic/Center | 700 Adeline St, Oakland, CA 94607-2608 | 2007-04-03 |
| Street Address |
8251 FONTAINE ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558625459 | East Bay Agency for Children | Community/Behavioral Health | 8251 Fontaine St, Rudsdale Cont., Oakland, CA 94605-4109 | 2012-06-26 |
| 1679124234 | Michael Andrew Dickman | Marriage & Family Therapist | 8251 Fontaine St, Oakland, CA 94605-4109 | 2019-09-25 |
| 1215420328 | Oakland Unified School District | Local Education Agency (LEA) | 8251 Fontaine St, Oakland, CA 94605-4109 | 2018-06-13 |
| 1598273054 | The Alliance for Community Wellness | Community/Behavioral Health | 8251 Fontaine St, Oakland, CA 94605-4109 | 2018-01-18 |
| 1093141905 | East Bay Agency for Children | Community/Behavioral Health | 8251 Fontaine St, Oakland, CA 94605-4109 | 2013-09-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1679107056 | Caliber Autism Care LLC | Community/Behavioral Health | 2604 Invitational Dr, Oakland, MI 48363-2455 | 2020-02-25 |
| 1346894532 | Stars, Inc. | Community/Behavioral Health | 8000 Birch St, Oakland, CA 94621-2313 | 2019-07-26 |
| 1659923191 | Stars, Inc. | Community/Behavioral Health | 915 Foothill Blvd., Oakland, CA 94606-3013 | 2019-07-15 |
| 1285195537 | Diversity In Health Training Institute | Community/Behavioral Health | 310 8th St Ste 303, Oakland, CA 94607-4253 | 2019-03-28 |
| 1700362159 | Options Recovery Services | Community/Behavioral Health | 1630 10th St, Oakland, CA 94607-1426 | 2018-07-18 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1821501446 | Options Recovery Services | Community/Behavioral Health | 1020 59th St, Oakland, CA 94608-2302 | 2017-11-06 |
| 1649783267 | Options Recovery Services | Community/Behavioral Health | 1053 59th St, Oakland, CA 94608-2362 | 2017-11-06 |
| 1093228611 | Options Recovery Services | Community/Behavioral Health | 5121 West St, Oakland, CA 94608-3253 | 2017-11-06 |
| 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.