MR. ED A CLARKE (NPI# 1497997167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497997167 |
Entity Type | Individual |
Full Name | MR. ED A CLARKE |
Credential | MASTERS THEOLOGY |
Practice Address |
9925 International Blvd Suite 6 Oakland CA 94603-2558 |
Practice Telephone | 5105623731 |
Practice Fax Number | 5105623731 |
Mailing Telephone | 5105623731 |
Mailing Fax Number | 5105623731 |
Enumeration Date | 2009-03-27 |
Last Update Date | 2009-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
Street Address |
9925 INTERNATIONAL BLVD SUITE 6 |
City | OAKLAND |
State | CA |
Zip Code | 94603-2558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447250998 | East Oakland Obs Gyn Med Gp Inc | Obstetrics & Gynecology | 9925 International Blvd, Ste 1, Oakland, CA 94603 | 2005-07-27 |
1912539966 | Keyona Boykin | Nurse Practitioner | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-02-07 |
1861023640 | Kayla Perry | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
1558992347 | Raven Dixon | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
1831720630 | Macy Dion Harris | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
1073144812 | Kye Duren | Case Management | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
1699305565 | Phyllis Marie Brown-little | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-20 |
1104466549 | Tavare Williams Sr. | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-14 |
1477196210 | Rafael Kenney | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-10-24 |
1174177679 | Megan Richardson | Family Medicine | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-08-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
1982920542 | Alwaha Travel Agency for Hajj and Umrah LLC | Non-emergency Medical Transport (VAN) | 60 98th Ave Ste 100, Oakland, CA 94603-1000 | 2010-04-07 |
1336637644 | Carlos Leonel Lopez | Technician, Other | 301 Clara St, Oakland, CA 94603-1101 | 2018-04-23 |
Find all providers in zip 94603 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508338427 | Frank Louis Smith | Counselor | 559 16th St, Oakland, CA 94612-1515 | 2018-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407468523 | Jessica Flanigan | Counselor | 29 Homestead Blvd, Mill Valley, CA 94941-3425 | 2020-08-19 |
1720606825 | Sam Chang | Counselor | 2649 Dorado Ct, Thousand Oaks, CA 91362-4916 | 2020-07-06 |
1528684115 | Robb Ring | Counselor | 802 E Chapman Ave, Orange, CA 92866-1650 | 2020-06-19 |
1174147888 | Ever Anselmo Mesa | Counselor | 2710 Gateway Oaks Dr Ste 100, Sacramento, CA 95833-3505 | 2020-05-29 |
1326677782 | Jim Carel Ten Bosch | Counselor | 35382 Roca Dr, Fremont, CA 94536-5460 | 2020-04-07 |
1841828563 | Elinor Anne Benefield | Counselor | 1918 Henry Ave, Pinole, CA 94564-2131 | 2020-03-29 |
1831726280 | Robin R Wells | Counselor | 955 Moraga Rd, Lafayette, CA 94549-4524 | 2020-03-25 |
1306472147 | Christine Noelle Haider-winnett | Counselor | 641 G St Apt A, Davis, CA 95616-3753 | 2020-03-12 |
1174163968 | Mark Seelig | Counselor | 4665 Hawaina Way, Kelseyville, CA 95451-9757 | 2020-01-09 |
1275175382 | Workforce Chaplaincy | Counselor | 4000 W Robinwood Ct, Visalia, CA 93291-5554 | 2019-10-09 |
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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.