EAST BAY COMMUNITY RECOVERY PROJECT (NPI# 1457529257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457529257 |
| Entity Type | Organization |
| Organization Name | EAST BAY COMMUNITY RECOVERY PROJECT |
| Practice Address |
2577 San Pablo Ave Oakland CA 94612-1159 |
| Mailing Address |
2579 San Pablo Ave Oakland CA 94612-1159 |
| Practice Telephone | 5104467100 |
| Practice Fax Number | 5108320609 |
| Mailing Telephone | 5104467100 |
| Mailing Fax Number | 5104467191 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | MS. MARTA ROSE (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5104467100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 251S00000X | CA | Managed Care Organizations |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441763 | East Bay Community Recovery Project | Substance Abuse Rehabilitation Facility | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2007-05-31 |
| 1356553820 | East Bay Community Recovery Project | Community/Behavioral Health | 2730 Adeline St., Oakland, CA 94607-2408 | 2007-05-04 |
| 1972807444 | East Bay Community Recovery Project | Community/Behavioral Health | 22971 Sutro St, Hayward, CA 94541-6514 | 2010-12-27 |
| 1881863371 | East Bay Community Recovery Project | Day Training, Developmentally Disabled Services | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2008-02-28 |
| 1245417658 | East Bay Community Recovery Project | Community/Behavioral Health | 22971 Sutro St, Hayward, CA 94541-6514 | 2008-01-28 |
| 1689875171 | East Bay Community Recovery Project | Community/Behavioral Health | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2007-05-30 |
| Street Address |
2577 SAN PABLO AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669673158 | Patricia Flora Mikkelsen | Marriage & Family Therapist | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2007-05-30 |
| 1467060798 | Brian Lee Domitrovich | Counselor | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2020-07-22 |
| 1063046282 | Alexander Patrick Humphrey | Student in an Organized Health Care Education/Training Program | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2020-02-26 |
| 1053951988 | Karen Rose Franco | Student in an Organized Health Care Education/Training Program | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2020-01-08 |
| 1689227753 | Nanyonjo Mukungu | Marriage & Family Therapist | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2019-07-18 |
| 1316429491 | Donghui Chen | Counselor | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2018-09-05 |
| 1164908059 | Lifelong Medical Care | Case Management | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2018-07-14 |
| 1992206817 | Courtney Chriss-price | Counselor | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2018-02-26 |
| 1467979195 | Valerie Ann Bolden | Student in an Organized Health Care Education/Training Program | 2577 San Pablo Ave, Oakland, CA 94612 | 2017-08-24 |
| 1679881023 | Lauren Ivy Schwartzberg | Counselor | 2577 San Pablo Ave, Oakland, CA 94612-1159 | 2010-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568633154 | Healthy Babies Project, Inc | Substance Abuse Rehabilitation Facility | 1004 36th St, Oakland, CA 94608-3906 | 2008-03-21 |
| 1336325737 | Horizon Services, Inc | Substance Abuse Rehabilitation Facility | 3210 62nd Ave, Oakland, CA 94605-1614 | 2008-01-15 |
| 1629254024 | Horizon Services, Inc. | Substance Abuse Rehabilitation Facility | 3837-3847 Telegraph Ave, Oakland, CA 94609-2419 | 2008-01-15 |
| 1922280858 | Solid Foundation Mandela House | Substance Abuse Rehabilitation Facility | 6939 Macarthur Blvd, Oakland, CA 94605-2532 | 2007-12-03 |
| 1528240959 | Carneles Unidos Reformando Adictos Inc. | Substance Abuse Rehabilitation Facility | 531 24th St, Oakland, CA 94612-1721 | 2007-11-27 |
| 1346441763 | East Bay Community Recovery Project | Substance Abuse Rehabilitation Facility | 2545 San Pablo Ave, Oakland, CA 94612-1121 | 2007-05-31 |
| 1235352444 | The West Oakland Health Council | Substance Abuse Rehabilitation Facility | 451 28th St, Oakland, CA 94609-3602 | 2007-04-10 |
| 1215064100 | Volunteers of America Northern California & Northern Nevada | Substance Abuse Rehabilitation Facility | 2364 E 15th St, Oakland, CA 94601-1037 | 2007-02-27 |
| 1205337771 | Brian Wai | Substance Abuse Rehabilitation Facility | 310 8th St Ste 210, Oakland, CA 94607-6527 | 2018-02-21 |
| 1588013502 | Maria Arroyo | Substance Abuse Rehabilitation Facility | 3408 Andover St, Oakland, CA 94609-2817 | 2016-06-09 |
| 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.