FRED FINCH YOUTH CENTER (NPI# 1275986739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275986739 |
| Entity Type | Organization |
| Organization Name | FRED FINCH YOUTH CENTER |
| Other Organization Name | FRED FINCH YOUTH CENTER-FAIRVIEW ELEMENTARY SCHOOL |
| Practice Address |
23515 Maud Ave Hayward CA 94541-4519 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 5107233830 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5104881960 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MR. THOMAS N. ALEXANDER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5104822244 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fred Finch Youth Center-Fairview Elementary School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| 1174077838 | Fred Finch Youth Center | Counselor | 2409 E 27th St, Oakland, CA 94601-1303 | 2016-08-11 |
| 1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
| 1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
| 1285083113 | Fred Finch Youth Center | Counselor | 755 Oak Grove Rd, Concord, CA 94518-2801 | 2016-06-10 |
| 1922484674 | Fred Finch Youth Center | Counselor | 351 Marina Rd, Bay Point, CA 94565-1320 | 2015-08-05 |
| 1659757300 | Fred Finch Youth Center | Counselor | 2217 Chalomar Rd, Concord, CA 94518-2504 | 2015-08-05 |
| 1912383662 | Fred Finch Youth Center | Counselor | 4200 Concord Blvd, Concord, CA 94521-1059 | 2015-08-05 |
| 1447636154 | Fred Finch Youth Center | Counselor | 181 Viking Dr, Pleasant Hill, CA 94523-1808 | 2015-08-04 |
| 1528444239 | Fred Finch Youth Center | Counselor | 3339 Wren Ave, Concord, CA 94519-2328 | 2015-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRED FINCH YOUTH CENTER | 3800 Coolidge Ave, Oakland, CA 94602-3311 |
| Street Address |
23515 MAUD AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134572639 | Seneca Family of Agencies | Community/Behavioral Health | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978575 | Bernadette Antoinette Wood | Social Worker | 2944 Kelly St, Hayward, CA 94541-3459 | 2020-10-04 |
| 1811547193 | Michelle L Ellerbee | Social Worker | 677 Morva Ct, Hayward, CA 94541-1826 | 2019-09-18 |
| 1487201182 | Jenell Thompson | Social Worker | 249 W Jackson St # 113, Hayward, CA 94544-1811 | 2019-08-19 |
| 1386110906 | Quimani Green | Social Worker | 22222 Foothill Blvd, Hayward, CA 94541-2711 | 2018-10-22 |
| 1578071627 | Laphonsa Gibbs | Social Worker | 1238 Walpert St Apt 25, Hayward, CA 94541-6710 | 2018-01-10 |
| 1073903878 | Ina Kwofie | Social Worker | 22248 Main St., Hayward, CA 94541 | 2015-01-31 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1942637699 | Adriana Guadalupe Escobar Correa | Social Worker | 22320 Foothill Blvd Ste 400, Hayward, CA 94541-2719 | 2013-09-26 |
| 1447684378 | Eduardo Felipe Herrera | Social Worker | 21455 Birch St., Hayward, CA 94541 | 2013-08-28 |
| 1144580580 | Rashel Perry | Social Worker | 31840 Chicoine Ave, Hayward, CA 94544-7728 | 2012-05-18 |
| Find all providers in HAYWARD | ||||
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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.