FRED FINCH YOUTH CENTER (NPI# 1659757300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659757300 |
| Entity Type | Organization |
| Organization Name | FRED FINCH YOUTH CENTER |
| Other Organization Name | FRED FINCH YOUTH CENTER-YGANCIO VALLEY ELEMENTARY SCHOOL |
| Practice Address |
2217 Chalomar Rd Concord CA 94518-2504 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 9256829336 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5104881960 |
| Enumeration Date | 2015-08-05 |
| 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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fred Finch Youth Center-Ygancio Valley 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 |
| 1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| 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 |
| 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 |
2217 CHALOMAR RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762937 | Daun Septembra - Michelle Kittinger | Social Worker | 7540 Eckert Rd, Concord, MI 49237-9543 | 2020-08-25 |
| 1811508450 | Wesley Williams | Social Worker | 975 Ramsgate Dr Sw, Concord, NC 28025-9222 | 2020-08-16 |
| 1720613557 | Alejandra Manalili | Social Worker | 1730 Adelaide St Apt 32, Concord, CA 94520-3248 | 2020-03-12 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1992280580 | Ruth Eleanor Rohde | Social Worker | 36 Wood St, Concord, MA 01742-2226 | 2018-09-28 |
| 1760964639 | Carol L Mandigo Licsw LLC | Social Worker | 83 Clinton St, Concord, NH 03301-2262 | 2018-09-06 |
| 1518448497 | Sandra Meldonian Robichaud | Social Worker | 25 Nancy Rd, Concord, MA 01742-2631 | 2018-08-28 |
| 1821532979 | Nathalie Rocco | Social Worker | 1455 Maria Ave, Concord, CA 94518-1134 | 2016-12-08 |
| 1790142545 | Leslie Lorene De La Torre | Social Worker | 1481 Rosal Ln Unit B, Concord, CA 94521-2640 | 2016-01-25 |
| 1932539533 | Whole Health Concord LLC | Social Worker | 91 N State St, Suite 102, Concord, NH 03301-4300 | 2013-11-18 |
| Find all providers in CONCORD | ||||
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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.