SENECA FAMILY OF AGENCIES (NPI# 1245793181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245793181 |
| Entity Type | Organization |
| Organization Name | SENECA FAMILY OF AGENCIES |
| Practice Address |
1400 Parkmoor Ave San Jose CA 95126-3797 |
| Mailing Address |
2275 Arlington Dr San Leandro CA 94578-1132 |
| Practice Telephone | 5103171444 |
| Mailing Telephone | 5103171444 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | SANDY HOBSON (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Telephone | 5107255727 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENECA FAMILY OF AGENCIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0015 | 05 |
| Other Name | Type Code |
|---|---|
| Parkmoor Site | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1144878471 | Seneca Family of Agencies | Community/Behavioral Health | 575 W Fremont Ave, Sunnyvale, CA 94087-2556 | 2019-08-29 |
| 1902454226 | Seneca Family of Agencies | Community/Behavioral Health | 401 W Hamilton Ave, Campbell, CA 95008-0509 | 2019-08-29 |
| 1043866817 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 3710 Bodega Ave, Petaluma, CA 94952-8015 | 2019-08-16 |
| 1013489053 | Seneca Family of Agencies | Community/Behavioral Health | 383 1st St, Gilroy, CA 95020-5028 | 2018-12-31 |
| 1902381098 | Seneca Family of Agencies | Community/Behavioral Health | 951 Oconnor St, East Palo Alto, CA 94303-2022 | 2018-09-25 |
| 1699258368 | Seneca Family of Agencies | Community/Behavioral Health | 2711 Maricopa Ave, Richmond, CA 94804-1006 | 2018-09-10 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SENECA FAMILY OF AGENCIES | 3438 S 148th St, Tukwila, WA 98168-4319 |
| Oregon Corporations, Companies and Business Names | SENECA FAMILY OF AGENCIES | 6925 Chabot Rd, Oakland, CA 94605 |
| Street Address |
1400 PARKMOOR AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887933 | Ana Servellon | Social Worker | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2009-09-30 |
| 1043842008 | Issac Garcia | Case Management | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2020-02-07 |
| 1831739515 | Sujata Panda | Specialist | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2020-01-10 |
| 1457919417 | Kamala Kodukula | Case Manager/Care Coordinator | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2019-06-04 |
| 1417515644 | Krystovia Eveth Thomas | Case Manager/Care Coordinator | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2019-06-03 |
| 1659867398 | Deepika Verma | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-07-05 |
| 1871087031 | Brittany De'angela Newton | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-06-20 |
| 1104319953 | Leopoldo Medina | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-06-07 |
| 1134624083 | Adeleke Olatunji Falade | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-03-23 |
| 1114421617 | Brandi M Villegas | Specialist | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
|---|---|---|---|---|
| 1447718838 | Alum Rock Counseling Center | Community/Behavioral Health | 234 E Gish Rd Ste 200, San Jose, CA 95112-4724 | 2019-03-05 |
| 1184189722 | Uplift Family Services | Community/Behavioral Health | 653 Sylvandale Ave, San Jose, CA 95111-1414 | 2019-02-07 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1194218149 | Catholic Charities of Santa Clara County | Community/Behavioral Health | 2150 Alum Rock Ave, San Jose, CA 95116-2054 | 2018-06-13 |
| 1306336102 | Unity Care Group, Inc. | Community/Behavioral Health | 469 Delridge Dr, San Jose, CA 95111-1703 | 2018-05-16 |
| 1295230969 | Caminar | Community/Behavioral Health | 2202 N 1st St Ste 2210, San Jose, CA 95131-2007 | 2018-03-26 |
| 1487175485 | Arise Services | Community/Behavioral Health | 1009 E Capitol Expy # 407, San Jose, CA 95121-2415 | 2017-06-29 |
| 1811438765 | Family and Children Services A Division of Caminar | Community/Behavioral Health | 109 E Gish Rd, San Jose, CA 95112-4702 | 2017-03-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1164965034 | Alum Rock Counseling Center, Inc. | Community/Behavioral Health | 1944 Flint Ave, San Jose, CA 95148-1213 | 2016-11-28 |
| Find all providers in SAN JOSE | ||||
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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.