CENTER FOR SOCIAL DYNAMICS


Address: 400 29th St Ste 105, Oakland, CA 94609-3546
Phone: 5102688120

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003340647 Center for Social Dynamics Community/Behavioral Health 1025 Atlantic Ave, 101, Alameda, CA 94501-1189 2017-04-19

Other Data Sources

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

Office Location

Street Address 400 29TH ST STE 105
City OAKLAND
State CA
Zip Code 94609-3546

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679107056 Caliber Autism Care LLC Community/Behavioral Health 2604 Invitational Dr, Oakland, MI 48363-2455 2020-02-25
1346894532 Stars, Inc. Community/Behavioral Health 8000 Birch St, Oakland, CA 94621-2313 2019-07-26
1659923191 Stars, Inc. Community/Behavioral Health 915 Foothill Blvd., Oakland, CA 94606-3013 2019-07-15
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
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Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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