TELECARE CORPORATION GLADMAN MENTAL HEALTH REHABILITATION CENTER (NPI# 1477751188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477751188 |
| Entity Type | Organization |
| Organization Name | TELECARE CORPORATION GLADMAN MENTAL HEALTH REHABILITATION CENTER |
| Practice Address |
2633 E 27th St Oakland CA 94601-1912 |
| Practice Telephone | 5105368111 |
| Practice Fax Number | 5105345202 |
| Mailing Telephone | 5105368111 |
| Mailing Fax Number | 5105345202 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT BRUCE GUTTERMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5105368111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 02080009 | CA | Residential Treatment Facilities |
| Street Address |
2633 E 27TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881641421 | Telecare Corporation | Psychiatric Hospital | 2633 E 27th St, Oakland, CA 94601-1912 | 2006-05-28 |
| 1689131476 | Keria Madow | Student in an Organized Health Care Education/Training Program | 2633 E 27th St, Oakland, CA 94601-1912 | 2019-02-27 |
| 1497273775 | Veronica Andrea Garcia | Registered Nurse | 2633 E 27th St, Oakland, CA 94601-1912 | 2017-09-06 |
| 1568995082 | Peter Olson | Counselor | 2633 E 27th St, Oakland, CA 94601-1912 | 2017-04-11 |
| 1225576754 | Sandy Schniewind | Counselor | 2633 E 27th St, Oakland, CA 94601-1912 | 2017-02-03 |
| 1063957256 | Kenneth Pinhero | Social Worker | 2633 E 27th St, Oakland, CA 94601-1912 | 2016-12-27 |
| 1295196988 | Theresa Marquardt | Social Worker | 2633 E 27th St, Oakland, CA 94601-1912 | 2016-03-09 |
| 1679948046 | Daniel Main | Marriage & Family Therapist | 2633 E 27th St, Oakland, CA 94601-1912 | 2015-12-09 |
| 1528455060 | Bethany Johns | Social Worker | 2633 E 27th St, Oakland, CA 94601-1912 | 2015-04-22 |
| 1134477557 | Michelle Lee Porter | Marriage & Family Therapist | 2633 E 27th St, Oakland, CA 94601-1912 | 2012-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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| 1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
| 1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
| 1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
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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.