GREATER NEW BEGINNINGS YOUTH SERVICES, INC. (NPI# 1487187951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487187951 |
| Entity Type | Organization |
| Organization Name | GREATER NEW BEGINNINGS YOUTH SERVICES, INC. |
| Practice Address |
1625 Filbert St Oakland CA 94607-2890 |
| Practice Telephone | 5106639092 |
| Mailing Telephone | 5106639092 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | KENNETH PORTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5107193950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 015600316 | CA | Residential Treatment Facilities |
| Street Address |
1625 FILBERT ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326228842 | Shawn Elise Rowland | Social Worker | 1625 Filbert St, Oakland, CA 94607-2890 | 2007-11-13 |
| 1467050922 | Chandra Renee Williams | Social Worker | 1625 Filbert St, Oakland, CA 94607-2890 | 2020-10-15 |
| 1992311526 | Brian Mcghee | Social Worker | 1625 Filbert St, Oakland, CA 94607-2890 | 2020-09-18 |
| 1720622392 | Gary Robinson | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-11-06 |
| 1588208169 | Felicia Layne | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-11-06 |
| 1144861824 | Delwin Bradford | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-03 |
| 1629619424 | Christopher Moorhead | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-02 |
| 1255972048 | Lania Watkins | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-02 |
| 1083255814 | Kenneth Porter | Technician, Health Information | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-02 |
| 1386285310 | Tandra Debose | Technician, Health Information | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
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| 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 |
| 1336554062 | Refuge | Residential Treatment Facility, Emotionally Disturbed Children | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2014-06-20 |
| 1932343951 | Refuge Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3906 Loma Vista Ave, Oakland, CA 94619-1426 | 2009-04-21 |
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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.