STARS BEHAVIORAL HEALTH GROUP (NPI# 1174120992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174120992 |
| Entity Type | Organization |
| Organization Name | STARS BEHAVIORAL HEALTH GROUP |
| Practice Address |
545 Estudillo Ave San Leandro CA 94577-4611 |
| Practice Telephone | 5107467480 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MR. GERALD MICHAEL BEJARIN (MENTAL HEALTH SPECIALIST II) |
| Authorized Official Telephone | 2092212238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | STARS BEHAVIORAL HEALTH GROUP, INC | 17571 Bothell Way Ne, Lake Forest Park, WA 98155 |
| New York State Corporations | STARS BEHAVIORAL HEALTH GROUP, INC. | 7677 Oakport Street Suite 1010, Oakland, Ca 94621 |
| Street Address |
545 ESTUDILLO AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205992096 | Subacute Treatment for Adolescent Rehabilitation Services, Inc. | Community/Behavioral Health | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2006-12-28 |
| 1205436334 | Gerald Michael Bejarin | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-10-28 |
| 1043827504 | Cindy Gutierrez | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-09-29 |
| 1295342129 | Renika Renee Buttigieg | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-09-24 |
| 1457967242 | Joshua Crum | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-09-17 |
| 1003421041 | Maren Elizabeth Trotter | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-09-15 |
| 1558976324 | Katherine Macarthur Walker | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-09-09 |
| 1396357695 | Jonathan Walden Leonard | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-08-18 |
| 1902423353 | Megan A Davis | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-07-01 |
| 1245863513 | Jennifer Mejia Nieto | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886678 | Theresa Marie Isidro | Counselor | 500 Davis St Ste 100, San Leandro, CA 94577-2758 | 2019-11-21 |
| 1407367311 | Phil Nastri | Counselor | 14740 Martell Ave Apt E, San Leandro, CA 94578-4447 | 2017-10-18 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1366825499 | Meghan Mchugh | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2015-07-07 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1487999157 | Vanessa Vargas Hernandez | Counselor | 140 Belleview Dr, 3, San Leandro, CA 94577-1756 | 2012-12-06 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1295020238 | Chatani Iman Miller | Counselor | 511 Estudillo Ave., Stars Community Services Tay Program, San Leandro, CA 94577 | 2011-06-17 |
| 1780991604 | Herbert Dominique Smyer II | Counselor | 2233 Fairway Dr Apt 1, San Leandro, CA 94577-5451 | 2010-09-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on STARS BEHAVIORAL HEALTH GROUP.
| 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.