NEUOPSYCHOLOGY DEPARTMENT (NPI# 1326247891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326247891 |
| Entity Type | Organization |
| Organization Name | NEUOPSYCHOLOGY DEPARTMENT |
| Other Organization Name | CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND |
| Practice Address |
770 53rd Street Oakland CA 94609-1809 |
| Mailing Address |
747 52nd St Oakland CA 94609-1809 |
| Practice Telephone | 5104283571 |
| Mailing Telephone | 5104283571 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | DR. CHERISE NORTHCUTT (DIRECTOR OF MENTAL HEALTH SERVICES) |
| Authorized Official Telephone | 5104283885 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Hospital & Research Center at Oakland | Other Name - Individual/Organization |
| Street Address |
770 53RD STREET |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255451480 | Children's Hopsital and Research Center At Oakland | General Acute Care Hospital | 770 53rd Street, Oakland, CA 94609-1809 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669773008 | La Clinica De La Raza, Inc. | Clinic/Center | 3709 E 12th St, Oakland, CA 94601-4001 | 2010-11-16 |
| 1619177300 | Children's Hospital & Research Center At Oakland | Clinic/Center | 770 53rd St, Oakland, CA 94609 | 2007-07-20 |
| 1306329842 | Tammy Lynette Cloud | Clinic/Center | 8711 Macarthur Blvd, Oakland, CA 94605-4000 | 2018-09-11 |
| 1285125906 | A Better Way, Inc | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-05-29 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1255691036 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94609 | 2012-05-25 |
| 1881954725 | Child Assessment and Transition Services (cats) | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2012-05-25 |
| 1013105246 | The Alliance for Community Wellness | Clinic/Center | 3315 International Blvd, Oakland, CA 94601-3005 | 2007-10-12 |
| 1710177803 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave., Oakland, CA 94609 | 2007-07-26 |
| 1245430016 | Behavior Emergency Response Team | Clinic/Center | 747 52nd St, Oakland, CA 94609-1809 | 2007-07-20 |
| 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.