FRED FINCH YOUTH CENTER (NPI# 1245457225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245457225 |
| Entity Type | Organization |
| Organization Name | FRED FINCH YOUTH CENTER |
| Other Organization Name | FRED FINCH YOUTH CENTER-MADISON PARK ACADEMY |
| Practice Address |
400 Capistrano Dr Oakland CA 94603-3520 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 5108792150 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5104881960 |
| Enumeration Date | 2007-04-19 |
| 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 | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fred Finch Youth Center-Madison Park Academy | 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 |
| 1659757300 | Fred Finch Youth Center | Counselor | 2217 Chalomar Rd, Concord, CA 94518-2504 | 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 |
| 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 |
400 CAPISTRANO DR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780953596 | Madison Health Center | Clinic/Center | 400 Capistrano Dr, Oakland, CA 94603-3520 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1508148685 | Kimberly Alston-stepnitz | Counselor | 9925 International Blvd, Oakland, CA 94603 | 2011-09-14 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| Find all providers in zip 94603 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
| 1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
| 1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
| 1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
| 1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
| 1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
| 1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
| 1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
| 1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
| 1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
| 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.