COMMUNITY OPTIONS FOR FAMILIES AND YOUTH, INC (NPI# 1265947923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265947923 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OPTIONS FOR FAMILIES AND YOUTH, INC |
| Other Organization Name | BLACK DIAMOND COUNSELING ENRICHED CLASSROOMS |
| Practice Address |
1131 Stoneman Ave Pittsburg CA 94565-5466 |
| Mailing Address |
3478 Buskirk Ave Ste 260 Pleasant Hill CA 94523-4358 |
| Practice Telephone | 9254734480 |
| Mailing Telephone | 9259431794 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DAVID BERGESEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9259431794 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Black Diamond COUNSELING ENRICHED CLASSROOMS | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1131 Stoneman Ave Rm 18, Pittsburg, CA 945655466 | 9254734480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346755006 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 2301 Range Rd, Pittsburg, CA 94565-4646 | 2017-12-04 |
| 1992210652 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 1200 Jensen Dr, Pittsburg, CA 94565-6319 | 2017-12-04 |
| 1891200564 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 4141 Harbor St, Pittsburg, CA 94565-6156 | 2017-12-04 |
| 1396944310 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 3478 Buskirk Ave, Suite 260, Pleasant Hill, CA 94523-4344 | 2007-07-11 |
| Street Address |
1131 STONEMAN AVE |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865870 | Bay Area Community Resources, Inc | Community/Behavioral Health | 1131 Stoneman Ave, Pittsburg, CA 94565-5466 | 2020-06-10 |
| 1730697657 | Monikkia White | Counselor | 1131 Stoneman Ave, Pittsburg, CA 94565-5466 | 2018-01-12 |
| 1437665981 | Lincoln | Community/Behavioral Health | 1131 Stoneman Ave, Pittsburg, CA 94565-5466 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| 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 |
|---|---|---|---|---|
| 1205448131 | Clydies Place | Community/Behavioral Health | 424 Henderson St, Pittsburg, TX 75686-1118 | 2020-08-21 |
| 1700394046 | Lincoln | Community/Behavioral Health | 40 Seeno St, Pittsburg, CA 94565-5855 | 2018-01-22 |
| 1699283929 | Lincoln | Community/Behavioral Health | 2012 Carion Ct, Pittsburg, CA 94565-4021 | 2018-01-22 |
| 1508374836 | Lincoln | Community/Behavioral Health | 1880 Hanlon Way, Pittsburg, CA 94565-3579 | 2018-01-22 |
| 1437667771 | Lincoln | Community/Behavioral Health | 2929 Loveridge Rd, Pittsburg, CA 94565-5132 | 2018-01-22 |
| 1053827030 | Lincoln | Community/Behavioral Health | 985 W 17th St, Pittsburg, CA 94565-3716 | 2017-12-28 |
| 1710493259 | Lincoln | Community/Behavioral Health | 333 Yosemite Dr, Pittsburg, CA 94565-5242 | 2017-12-20 |
| 1578079976 | Lincoln | Community/Behavioral Health | 610 Crowley Ave, Pittsburg, CA 94565-4763 | 2017-12-20 |
| 1346755006 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 2301 Range Rd, Pittsburg, CA 94565-4646 | 2017-12-04 |
| 1992210652 | Community Options for Families and Youth, Inc | Community/Behavioral Health | 1200 Jensen Dr, Pittsburg, CA 94565-6319 | 2017-12-04 |
| Find all providers in PITTSBURG | ||||
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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.