FRED FINCH YOUTH CENTER (NPI# 1285083113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285083113 |
| Entity Type | Organization |
| Organization Name | FRED FINCH YOUTH CENTER |
| Other Organization Name | FRED FINCH YOUTH CENTER-YGNACIO VALLEY HIGH SCHOOL |
| Practice Address |
755 Oak Grove Rd Concord CA 94518-2801 |
| Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
| Practice Telephone | 9256858414 |
| Mailing Telephone | 5104822244 |
| Mailing Fax Number | 5104881960 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MR. THOMAS N ALEXANDER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5104855214 |
| 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 | 104100000X | Social Worker | 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-Ygnacio Valley High School | 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 |
| 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 |
| 1528444239 | Fred Finch Youth Center | Counselor | 3339 Wren Ave, Concord, CA 94519-2328 | 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 |
755 OAK GROVE RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841842861 | Mt. Diablo Unified School District | Local Education Agency (LEA) | 755 Oak Grove Rd, Concord, CA 94518-2801 | 2019-07-10 |
| 1962973818 | Sarah Baaijen | Marriage & Family Therapist | 755 Oak Grove Rd, Concord, CA 94518-2801 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| 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 |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1871190843 | Mary Cabarles | Social Worker | 2604 Vargas Ct, Concord, CA 94520-4630 | 2020-10-02 |
| 1619591765 | Nakalah Wilson | Social Worker | 2353 Concord Lake Rd, Concord, NC 28025-2877 | 2020-06-04 |
| 1821624511 | Cynthia G Tubbs | Social Worker | 8 Centre St # 2, Concord, NH 03301-6302 | 2020-03-13 |
| 1396370375 | Kathryn Starratt Licsw Pllc | Social Worker | 1 Tremont St Ofc 4, Concord, NH 03301-4465 | 2020-03-10 |
| 1720619703 | Stephen Patrick Hayes | Social Worker | 591 Sandringham Pl, Concord, NC 28025-3116 | 2020-01-29 |
| 1295377075 | Monica Jo Prestage | Social Worker | 4913 Hathwyck Ct Nw, Concord, NC 28027-4625 | 2019-10-12 |
| 1710529037 | Capital Valley Counseling Associates, LLC | Social Worker | 8 Centre St Ste 2, Concord, NH 03301-6302 | 2019-10-09 |
| 1497316558 | Maria Luk | Social Worker | 5503 Sun Cloud Ct, Concord, CA 94521-5012 | 2019-06-27 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| Find all providers in CONCORD | ||||
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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.