EAST BAY AGENCY FOR CHILDREN (NPI# 1265866248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265866248 |
| Entity Type | Organization |
| Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Practice Address |
620 Drew St Hesperian Rm 7266 San Lorenzo CA 94580-1046 |
| Mailing Address |
303 Van Buren Ave Oakland CA 94610-4340 |
| Practice Telephone | 5102683770 |
| Mailing Telephone | 5102683770 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | CATHERINE HAYNES (CLIENT SERVICES SPECIALIST) |
| Authorized Official Telephone | 5108445369 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| EBAC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879795 | East Bay Agency for Children | Community/Behavioral Health | 500 Pacific Ave., Rm 15 and 32, Alameda, CA 94501-2125 | 2018-08-02 |
| 1548747231 | East Bay Agency for Children | Community/Behavioral Health | 2201 Encinal Ave Rm 32 and Therapy Inside Class, Alameda, CA 94501-4412 | 2018-07-25 |
| 1942787635 | East Bay Agency for Children | Community/Behavioral Health | 210 Central Ave Rm 404 and Therapy Room Next To It, Alameda, CA 94501-3246 | 2018-07-25 |
| 1134671209 | East Bay Agency for Children | Community/Behavioral Health | 36111 Bettencourt St, Newark, CA 94560-2101 | 2016-10-25 |
| 1033666177 | East Bay Agency for Children | Community/Behavioral Health | 960 10th St., Room A3, Oakland, CA 94607-3106 | 2016-09-07 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1104372242 | East Bay Agency for Children | Community/Behavioral Health | 5735 Musick Ave, Newark, CA 94560-2554 | 2016-08-29 |
| 1710430558 | East Bay Agency for Children | Community/Behavioral Health | 6071 Smith Ave, Newark, CA 94560-4536 | 2016-07-28 |
| 1982157665 | East Bay Agency for Children | Community/Behavioral Health | 6580 Mirabeau Dr, Newark, CA 94560-1121 | 2016-07-28 |
| 1134672983 | East Bay Agency for Children | Community/Behavioral Health | 6201 Lafayette Ave, Newark, CA 94560-2432 | 2016-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAST BAY AGENCY FOR CHILDREN | 2828 Ford Street, Oakland, CA 94601-2114 |
| Street Address |
620 DREW ST HESPERIAN RM 7266 |
| City | SAN LORENZO |
| State | CA |
| Zip Code | 94580-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226047 | Sunrise Care Home LLC | Clinic/Center | 1447 Via Lucas, San Lorenzo, CA 94580 | 2018-12-07 |
| 1700370459 | Andrea Gisela Sanchez - Altamirano | Behavioral Analyst | 16215 Via Arriba Apt 205, San Lorenzo, CA 94580 | 2018-06-17 |
| 1700326030 | Cozy Physical Therapy | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-06 |
| 1912255605 | Brandi S Gates | Lactation Consultant, Non-RN | 1474 Via Coralla, San Lorenzo, CA 94580 | 2012-08-28 |
| 1255525572 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16829 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-29 |
| 1194917187 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16837 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-14 |
| 1629136080 | Winston F Yee | Dentist | 17760 Hesperian Blvd, San Lorenzo, CA 94580 | 2006-12-05 |
| 1871686568 | Linh P Nguyen | Chiropractor | 15817 Channel Street, San Lorenzo, CA 94580 | 2006-10-02 |
| 1821024902 | John Peter Derdivanis | Dentist | 15600 Washington Ave.ste.e, San Lorenzo, CA 94580 | 2006-06-23 |
| 1588104608 | Cozy Physical Therapy Professional Corporation | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-08 |
| Find all providers in zip 94580 | ||||
| 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 |
|---|---|---|---|---|
| 1770072183 | The Alliance for Community Wellness | Community/Behavioral Health | 800 Bockman Rd, San Lorenzo, CA 94580-2906 | 2018-05-02 |
| 1811435225 | Seneca Family of Agencies | Community/Behavioral Health | 16160 Ashland Ave, Room 30a, San Lorenzo, CA 94580-1116 | 2017-02-06 |
| 1548711765 | Stars, Inc. | Community/Behavioral Health | 879 Grant Ave, San Lorenzo, CA 94580-1401 | 2016-10-24 |
| 1053866756 | Stars, Inc. | Community/Behavioral Health | 2001 Bockman Rd., 210a, San Lorenzo, CA 94580-1903 | 2016-08-23 |
| 1053800433 | The Alliance for Community Wellness | Community/Behavioral Health | 16160 Ashland Ave, San Lorenzo, CA 94580-1116 | 2018-05-01 |
| 1902344310 | Seneca Family of Agencies | Community/Behavioral Health | 15701 Lorenzo Ave, San Lorenzo, CA 94580-1407 | 2017-02-06 |
| 1205177649 | County of Alameda | Community/Behavioral Health | 15701 Lorenzo Ave, San Lorenzo, CA 94580-1407 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN LORENZO |
| Zip Code | 94580 |
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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.