TELECARE CORPORATION (NPI# 1417033663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417033663 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION |
| Practice Address |
280 17th St Oakland CA 94612-4124 |
| Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
| Practice Telephone | 5102385020 |
| Practice Fax Number | 5102613584 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | MARSHALL LANGFELD (CFO, VICE PRESIDENT) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COUNTY MENTAL HEATLH CERTIFICATE | 81381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906903 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 205 Hillside Rd, Antioch, CA 94509-4931 | 2020-09-14 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1396377875 | Telecare Corporation | Clinic/Center | 316 Kentuky St, Bakersfield, CA 93305 | 2020-02-12 |
| 1932754033 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 7821 English Hills Rd, Vacaville, CA 95688-9543 | 2019-08-06 |
| 1790344539 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl Ste D and E28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1609340769 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 12956 Alta Mesa Rd, Herald, CA 95638-8309 | 2019-01-11 |
| 1952880825 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 24 W Cypress Pl, Oakley, CA 94561-2258 | 2018-08-10 |
| 1619476892 | Telecare Corporation | Psychiatric Residential Treatment Facility | 298 Bernal Rd Ste A, San Jose, CA 95119-1809 | 2018-02-02 |
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELECARE CORPORATION | 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 |
| Colorado Business Entities | Telecare Corporation | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501 |
| Street Address |
280 17TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1497356208 | Katarzyna Modzelewska | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-11-06 |
| 1477166593 | Jonathan Setiawan | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-08-28 |
| 1780208850 | Savannah Varela | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2020-06-03 |
| 1245866631 | Princess At Wesseh | Registered Nurse | 280 17th St, Oakland, CA 94612-4124 | 2020-03-17 |
| 1578100103 | Donald Raymond Hiers | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-12-02 |
| 1265079099 | Paris Watson | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1538705363 | Camille A Woods | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1104462175 | Ladarien Jarey Gillins | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2019-11-25 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1467015842 | Karen Sprinkel, Individual & Family Trauma Therapy Corporation | Clinic/Center | 3511 Monterey Blvd, Oakland, CA 94619-1606 | 2019-04-21 |
| 1093014151 | David Pingitore, Phd, Clin. Psych., Inc. | Clinic/Center | 120 Glen Eden Ave, Oakland, CA 94611-4319 | 2011-03-15 |
| 1629379896 | La Clinica De La Raza, Inc. | Clinic/Center | 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 | 2010-11-04 |
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1801983960 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2006-10-09 |
| 1861041626 | Roshelle Ogundele Licensed Clinical Social Worker Inc | Clinic/Center | 2940 Summit St, Oakland, CA 94609-3416 | 2019-09-05 |
| 1871065813 | Specialty Physicians of Garrett County, LLC | Clinic/Center | 69 Wolf Acres Dr Lowr Level, Oakland, MD 21550-2046 | 2018-12-31 |
| 1801305776 | Christie Lee | Clinic/Center | 2501 Harrison St, Oakland, CA 94612-3811 | 2017-09-23 |
| 1174050389 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave., Suite 133, Building B, Oakland, CA 94605-2480 | 2017-05-18 |
| 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.