CENTER FOR SOCIAL DYNAMICS (NPI# 1497093355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497093355 |
Entity Type | Organization |
Organization Name | CENTER FOR SOCIAL DYNAMICS |
Practice Address |
400 29th St Ste 105 Oakland CA 94609-3546 |
Mailing Address |
400 29th St Suite 105 Oakland CA 94609-3522 |
Practice Telephone | 5102688120 |
Mailing Telephone | 5102688120 |
Enumeration Date | 2013-01-27 |
Last Update Date | 2017-02-22 |
Authorized Official Name | MR. PETE PALLARES (CEO) |
Authorized Official Telephone | 4153097981 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003340647 | Center for Social Dynamics | Community/Behavioral Health | 1025 Atlantic Ave, 101, Alameda, CA 94501-1189 | 2017-04-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CENTER FOR SOCIAL DYNAMICS | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 |
Oregon Corporations, Companies and Business Names | CENTER FOR SOCIAL DYNAMICS, INC. | 1025 Atlantic Avenue Suite 101, Alameda, CA 94501 |
Colorado Business Entities | CENTER FOR SOCIAL DYNAMICS,LLC | 2500 Arapahoe Ave, Suite 230, Boulder, CO 80302 |
Street Address |
400 29TH ST STE 105 |
City | OAKLAND |
State | CA |
Zip Code | 94609-3546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013448315 | Daniel Sanchez | Behavior Technician | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2017-03-27 |
1316478969 | Shantea Angelic Pratt | Assistant Behavior Analyst | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2017-03-24 |
1174074462 | Sean Brennan | Behavioral Analyst | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-10-21 |
1760932297 | Winntrest R. Hampton | Social Worker | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-10-07 |
1811446784 | Cheryl Dickinson | Assistant Behavior Analyst | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-10-03 |
1013377621 | Debbie Rieza | Psychologist | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-02-25 |
1699134239 | Stephanie Mair | Student in an Organized Health Care Education/Training Program | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-02-10 |
1891153532 | Sherry Andrea Marietta | Case Manager/Care Coordinator | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2016-02-09 |
1316313596 | Sharon Miranda | Behavioral Analyst | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2015-08-11 |
1033527510 | Iris Lau Yee Soulet | Behavioral Analyst | 400 29th St Ste 105, Oakland, CA 94609-3546 | 2014-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
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] |
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1285195537 | Diversity In Health Training Institute | Community/Behavioral Health | 310 8th St Ste 303, Oakland, CA 94607-4253 | 2019-03-28 |
1700362159 | Options Recovery Services | Community/Behavioral Health | 1630 10th St, Oakland, CA 94607-1426 | 2018-07-18 |
1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
1821501446 | Options Recovery Services | Community/Behavioral Health | 1020 59th St, Oakland, CA 94608-2302 | 2017-11-06 |
1649783267 | Options Recovery Services | Community/Behavioral Health | 1053 59th St, Oakland, CA 94608-2362 | 2017-11-06 |
1093228611 | Options Recovery Services | Community/Behavioral Health | 5121 West St, Oakland, CA 94608-3253 | 2017-11-06 |
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.