LINCOLN (NPI# 1063840635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063840635 |
| Entity Type | Organization |
| Organization Name | LINCOLN |
| Practice Address |
4351 Broadway Oakland CA 94611-4612 |
| Mailing Address |
1266 14th St Oakland CA 94607-2205 |
| Practice Telephone | 5102734700 |
| Mailing Telephone | 5102734700 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MS. ALLISON STAULCUP BECWAR (CHIEF PROGRAM OFFICER) |
| Authorized Official Telephone | 5102734700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 0000054BM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824046 | Lincoln | Community/Behavioral Health | 1708 F St, Antioch, CA 94509-2225 | 2019-07-25 |
| 1962983262 | Lincoln | Community/Behavioral Health | 2304 G St, Antioch, CA 94509-3500 | 2018-08-24 |
| 1518448810 | Lincoln | Community/Behavioral Health | 615 Greystone Dr, Antioch, CA 94509-6990 | 2018-08-24 |
| 1609357904 | Lincoln | Community/Behavioral Health | 1931 Mokelumne Dr, Antioch, CA 94531-9129 | 2018-08-24 |
| 1053892356 | Lincoln | Community/Behavioral Health | 2801 Roosevelt Ln, Antioch, CA 94509-5038 | 2018-08-24 |
| 1700367166 | Lincoln | Community/Behavioral Health | 4721 Vista Grande Dr, Antioch, CA 94531-8619 | 2018-08-23 |
| 1700394046 | Lincoln | Community/Behavioral Health | 40 Seeno St, Pittsburg, CA 94565-5855 | 2018-01-22 |
| 1699283929 | Lincoln | Community/Behavioral Health | 2012 Carion Ct, Pittsburg, CA 94565-4021 | 2018-01-22 |
| 1508374836 | Lincoln | Community/Behavioral Health | 1880 Hanlon Way, Pittsburg, CA 94565-3579 | 2018-01-22 |
| 1437667771 | Lincoln | Community/Behavioral Health | 2929 Loveridge Rd, Pittsburg, CA 94565-5132 | 2018-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN | 1266 14th St, Oakland, CA 94607-2205 |
| Colorado Business Entities | Lincoln & Associates LLC | Po Box 12301, Palm Desert, CA 92255 |
| New York State Corporations | LINCOLN & CADDY CORNER CAR REPAIRS, LTD. | 133 Cutter Mill Road, Great Neck, Ny 11021 |
| Colorado Business Entities | LINCOLN & DAKOTA, INC. | 195 Indian Peaks Drive, Erie, CO 80516 |
| Colorado Business Entities | Lincoln & Grant, Inc. | 5281 S. Quebec Street, Greenwood Village, CO 80111 |
| Iowa Business Entities | LINCOLN & LINCOLN FARMS, LLC | 60922 180th St, Pacific Junction, IA 51561 |
| New York State Corporations | LINCOLN & RAVI PIPING & HEATING CORP. | 125-05 Liberty Avenue, Richmond Hill, New York 11419 |
| New York State Corporations | LINCOLN & ROSS INC. | 113 Snyders Lake Road, Wynantskill, New York 12198 |
| System for Award Management (SAM) Entities | LINCOLN & SAGADAHOC MULTICOUNTY JAIL AUTHORITY | 522 Bath Rd, Wiscasset, ME 04578-4640 |
| Colorado Business Entities | Lincoln & Steele LLC | 10115 S. Peoria St., 01-105, Parker, CO 80134 |
| Street Address |
4351 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700986056 | Katherine Anne Rhodes | Nurse Practitioner | 4351 Broadway, Oakland, CA 94611-4612 | 2006-09-25 |
| 1326477845 | Oakland Unified School District | Local Education Agency (LEA) | 4351 Broadway, Oakland, CA 94611-4612 | 2013-11-05 |
| 1841531993 | Alliant International University | Community/Behavioral Health | 4351 Broadway, Oakland, CA 94611-4612 | 2013-03-13 |
| 1619264389 | Fred Finch Youth Center | Psychologist | 4351 Broadway, Oakland, CA 94611-4612 | 2011-07-01 |
| 1710274519 | Kamla Fennimore | Social Worker | 4351 Broadway, Oakland, CA 94611-4612 | 2011-06-30 |
| 1083922157 | Oakland Technical High School | Community/Behavioral Health | 4351 Broadway, Oakland, CA 94611-4612 | 2010-09-22 |
| 1669523114 | Margaret Bagnall Yardley | Social Worker | 4351 Broadway, Oakland, CA 94611-4612 | 2007-01-12 |
| 1013085778 | La Clinica De La Raza Inc | Clinic/Center | 4351 Broadway, Oakland, CA 94611-4612 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| 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.