LINCOLN CHILD CENTER (NPI# 1427105154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427105154 |
| Entity Type | Organization |
| Organization Name | LINCOLN CHILD CENTER |
| Practice Address |
4368 Lincoln Ave Oakland CA 94602-2529 |
| Mailing Address |
1505 Jackson St Apt. #107 Oakland CA 94612-4459 |
| Practice Telephone | 5105313111 |
| Practice Fax Number | 5105308083 |
| Mailing Telephone | 8057469670 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. HEATHER LYNN CARABAJAL (DAY TREATMENT CLINICIAN) |
| Authorized Official Telephone | 5105313111 |
| Authorized Official Credential | IMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 52036 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352925 | Lincoln Child Center | Community/Behavioral Health | 581 61st St, Oakland, CA 94609-1248 | 2010-03-24 |
| 1801088059 | Lincoln Child Center | Residential Treatment Facility, Emotionally Disturbed Children | 3524 Foothill Blvd Apt 9, Oakland, CA 94601-3644 | 2007-08-13 |
| Street Address |
4368 LINCOLN AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730266164 | Michael Semsky | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2006-11-01 |
| 1487002630 | Claudia Elizabeth Santuario | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2016-05-28 |
| 1205208444 | Felicia Ann Carter | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-10-27 |
| 1114395191 | Tia Barnes | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-09-09 |
| 1811364839 | Belinda Greenwood | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-25 |
| 1275909640 | Zena Rachelle Caputo | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1720454143 | Sarah Anne Almeida | Psychologist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1457727869 | Michaela Coates | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1174999809 | Marina Clarisse Antonio | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-17 |
| 1720487895 | Azita Munsif Azizi | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1093345589 | Quest Programs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5751 Adeline St, Oakland, CA 94608-2815 | 2020-01-23 |
| 1720218266 | Samuel Irving Taylor IIi | Residential Treatment Facility, Emotionally Disturbed Children | 581 63rd St, Oakland, CA 94609-1244 | 2009-07-17 |
| 1801088059 | Lincoln Child Center | Residential Treatment Facility, Emotionally Disturbed Children | 3524 Foothill Blvd Apt 9, Oakland, CA 94601-3644 | 2007-08-13 |
| 1952431462 | Tracy Scott-jefferson | Residential Treatment Facility, Emotionally Disturbed Children | 824 12th St, Oakland, CA 94607-3232 | 2007-03-06 |
| 1326173568 | Seneca Center | Residential Treatment Facility, Emotionally Disturbed Children | 2701 Ivy Dr, Apt. C, Oakland, CA 94606-2172 | 2007-02-21 |
| 1487187951 | Greater New Beginnings Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1625 Filbert St, Oakland, CA 94607-2890 | 2017-04-11 |
| 1336554062 | Refuge | Residential Treatment Facility, Emotionally Disturbed Children | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2014-06-20 |
| 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.