EAST BAY AGENCY FOR CHILDREN (NPI# 1497180145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497180145 |
| Entity Type | Organization |
| Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Practice Address |
2845 64th Ave Oakland CA 94605-2027 |
| Mailing Address |
303 Van Buren Ave Oakland CA 94610-4340 |
| Practice Telephone | 5108445369 |
| Mailing Telephone | 5109188424 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | CATHERINE HAYNES (CLIENT SERVICES SPECIALIST) |
| Authorized Official Telephone | 5108445369 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879795 | East Bay Agency for Children | Community/Behavioral Health | 500 Pacific Ave., Rm 15 and 32, Alameda, CA 94501-2125 | 2018-08-02 |
| 1548747231 | East Bay Agency for Children | Community/Behavioral Health | 2201 Encinal Ave Rm 32 and Therapy Inside Class, Alameda, CA 94501-4412 | 2018-07-25 |
| 1942787635 | East Bay Agency for Children | Community/Behavioral Health | 210 Central Ave Rm 404 and Therapy Room Next To It, Alameda, CA 94501-3246 | 2018-07-25 |
| 1134671209 | East Bay Agency for Children | Community/Behavioral Health | 36111 Bettencourt St, Newark, CA 94560-2101 | 2016-10-25 |
| 1033666177 | East Bay Agency for Children | Community/Behavioral Health | 960 10th St., Room A3, Oakland, CA 94607-3106 | 2016-09-07 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1104372242 | East Bay Agency for Children | Community/Behavioral Health | 5735 Musick Ave, Newark, CA 94560-2554 | 2016-08-29 |
| 1710430558 | East Bay Agency for Children | Community/Behavioral Health | 6071 Smith Ave, Newark, CA 94560-4536 | 2016-07-28 |
| 1982157665 | East Bay Agency for Children | Community/Behavioral Health | 6580 Mirabeau Dr, Newark, CA 94560-1121 | 2016-07-28 |
| 1134672983 | East Bay Agency for Children | Community/Behavioral Health | 6201 Lafayette Ave, Newark, CA 94560-2432 | 2016-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAST BAY AGENCY FOR CHILDREN | 2828 Ford Street, Oakland, CA 94601-2114 |
| Street Address |
2845 64TH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912215088 | Frick Middle School | Community/Behavioral Health | 2845 64th Ave, Oakland, CA 94605-2027 | 2010-09-22 |
| 1366931248 | Matthew Miller | Behavior Technician | 2845 64th Ave, Oakland, CA 94605-2027 | 2018-05-06 |
| 1700306255 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2845 64th Ave, Oakland, CA 94605-2027 | 2017-06-26 |
| 1114356631 | Oakland Unified School District | Local Education Agency (LEA) | 2845 64th Ave, Oakland, CA 94605-2027 | 2013-11-05 |
| 1104178342 | Frick Middle School | Community/Behavioral Health | 2845 64th Ave, Oakland, CA 94605-2027 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.