EAST BAY AGENCY FOR CHILDREN (NPI# 1104372242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104372242 |
| Entity Type | Organization |
| Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Practice Address |
5735 Musick Ave Newark CA 94560-2554 |
| Mailing Address |
303 Van Buren Ave Oakland CA 94610-4340 |
| Practice Telephone | 5108184000 |
| Mailing Telephone | 5102683770 |
| Mailing Fax Number | 5102681073 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | MAY FUNABIKI (CQI DIRECTOR) |
| Authorized Official Telephone | 5102683770 |
| Is Organization Subpart | N |
| 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 |
| 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 |
| 1245783281 | East Bay Agency for Children | Community/Behavioral Health | 39375 Cedar Blvd, Newark, CA 94560-5003 | 2016-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAST BAY AGENCY FOR CHILDREN | 2828 Ford Street, Oakland, CA 94601-2114 |
| Street Address |
5735 MUSICK AVE |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| 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 |
|---|---|---|---|---|
| 1609493097 | Cognitive Organics LLC | Community/Behavioral Health | 14 N Park Pl, Newark, OH 43055-5517 | 2020-07-01 |
| 1861023889 | Neighbours-inc | Community/Behavioral Health | 286 Muhammad Ali Ave, Newark, NJ 07108-2016 | 2020-01-29 |
| 1538721824 | Robyn Hope Pavlick | Community/Behavioral Health | 183 S Orange Ave # Leveld, Newark, NJ 07103-2757 | 2019-07-08 |
| 1457910515 | Trdiann J Clement | Community/Behavioral Health | 288 Fairmount Ave, Newark, NJ 07103-2334 | 2019-06-11 |
| 1497224638 | Home Care for You, Inc. | Community/Behavioral Health | 1 Bloomfield Ave Ste 2, Newark, NJ 07104-2547 | 2018-11-16 |
| 1982195400 | Amari Behavioral Health | Community/Behavioral Health | 39 Maiden Ln, Newark, NJ 07102-5800 | 2018-05-21 |
| 1063901015 | Walloflions | Community/Behavioral Health | 402 Mount Prospect Ave Apt 11g, Newark, NJ 07104-2152 | 2018-05-04 |
| 1811485543 | Integrity, Inc. | Community/Behavioral Health | 103 Lincoln Park, Newark, NJ 07102-2388 | 2018-04-27 |
| 1023527496 | Youth Advocate Programs, Inc. | Community/Behavioral Health | 45 Academy St Ste 303, Newark, NJ 07102-2900 | 2017-09-28 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on EAST BAY AGENCY FOR CHILDREN.
| 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.