ALEX REN BLACK (NPI# 1689867806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689867806 |
| Entity Type | Individual |
| Full Name | ALEX REN BLACK |
| Practice Address |
2540 Charleston St Oakland CA 94602-2508 |
| Practice Telephone | 5102920139 |
| Practice Fax Number | 5102683770 |
| Mailing Telephone | 5102920139 |
| Mailing Fax Number | 5102683770 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124556 | Alex Kendrick Black | Specialist/Technologist | 150 Jamerson Center (0502) 21 Beamer Way, Blacksburg, VA 24061-0001 | 2017-10-10 |
| 1699061358 | Alex Black | Pharmacist | 1400 S Havana St, Aurora, CO 80012-4014 | 2011-06-21 |
| 1861781536 | Alex B. Black | Emergency Medicine | 6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 | 2011-04-04 |
| Street Address |
2540 CHARLESTON ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659574085 | Kelly Perce | Marriage & Family Therapist | 2540 Charleston St, Oakland, CA 94602-2508 | 2007-06-05 |
| 1619513660 | Natasha Garcia | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-11-25 |
| 1295370708 | Michaela Preston | Student in an Organized Health Care Education/Training Program | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-11-08 |
| 1679117873 | Skyler A Noble | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-10-30 |
| 1073163606 | Adriana Zapien | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-09-16 |
| 1710536370 | Melissa Rachael Bergson | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-09-06 |
| 1831758812 | Alexander Herndon | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-06-12 |
| 1497311831 | Agnes Miklos-illes | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-05-10 |
| 1356818173 | Sarah Alyousfi | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2018-10-30 |
| 1730655861 | Blake Aaron Gibbs | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2018-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008328 | Kathleen Day | Marriage & Family Therapist | 490 Lake Park Ave Unit 16027, Oakland, CA 94610-8039 | 2020-09-21 |
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1619587219 | Katharine Cruz | Marriage & Family Therapist | 6408 Irwin Ct Apt 1, Oakland, CA 94609-1169 | 2020-08-07 |
| 1831708544 | Jennifer Sara Diamond | Marriage & Family Therapist | 5297 College Ave Ste 102, Oakland, CA 94618-1462 | 2020-07-28 |
| 1891312252 | Maya Ilana Attia | Marriage & Family Therapist | 6926 Chambers Dr, Oakland, CA 94611-1304 | 2020-07-01 |
| 1649894239 | Diana Christine Coleman | Marriage & Family Therapist | 6101 Broadway Ter, Oakland, CA 94618-2015 | 2020-05-30 |
| 1730701301 | Dot Center - Marriage and Family Therapy Inc. | Marriage & Family Therapist | 1624 Franklin St Ste 911, Oakland, CA 94612-2824 | 2020-05-17 |
| 1477173029 | Danielle Saunders | Marriage & Family Therapist | 3345 Grand Ave Ste 1, Oakland, CA 94610-2772 | 2020-04-23 |
| 1912534371 | Naomi Kimmelman | Marriage & Family Therapist | 3085 Capp St, Oakland, CA 94602-2703 | 2020-03-25 |
| 1346875200 | Jenner Bishop | Marriage & Family Therapist | 2938 Webster St # 200, Oakland, CA 94609-3407 | 2020-03-11 |
| 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.