EAST BAY AGENCY FOR CHILDREN (NPI# 1558796953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796953 |
| Entity Type | Organization |
| Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Other Organization Name | EBAC |
| Practice Address |
15980 Marcella St Hillside Rm 8 San Leandro CA 94578-2122 |
| Mailing Address |
303 Van Buren Ave Oakland CA 94610-4340 |
| Practice Telephone | 5102683770 |
| Mailing Telephone | 5102683770 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | CATHERINE HAYNES (CLIENT SERVICES SPECIALIST) |
| Authorized Official Telephone | 5108445369 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| EBAC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879795 | East Bay Agency for Children | Community/Behavioral Health | 500 Pacific Ave., Rm 15 and 32, Alameda, CA 94501-2125 | 2018-08-02 |
| 1548747231 | East Bay Agency for Children | Community/Behavioral Health | 2201 Encinal Ave Rm 32 and Therapy Inside Class, Alameda, CA 94501-4412 | 2018-07-25 |
| 1942787635 | East Bay Agency for Children | Community/Behavioral Health | 210 Central Ave Rm 404 and Therapy Room Next To It, Alameda, CA 94501-3246 | 2018-07-25 |
| 1134671209 | East Bay Agency for Children | Community/Behavioral Health | 36111 Bettencourt St, Newark, CA 94560-2101 | 2016-10-25 |
| 1033666177 | East Bay Agency for Children | Community/Behavioral Health | 960 10th St., Room A3, Oakland, CA 94607-3106 | 2016-09-07 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1104372242 | East Bay Agency for Children | Community/Behavioral Health | 5735 Musick Ave, Newark, CA 94560-2554 | 2016-08-29 |
| 1710430558 | East Bay Agency for Children | Community/Behavioral Health | 6071 Smith Ave, Newark, CA 94560-4536 | 2016-07-28 |
| 1982157665 | East Bay Agency for Children | Community/Behavioral Health | 6580 Mirabeau Dr, Newark, CA 94560-1121 | 2016-07-28 |
| 1134672983 | East Bay Agency for Children | Community/Behavioral Health | 6201 Lafayette Ave, Newark, CA 94560-2432 | 2016-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAST BAY AGENCY FOR CHILDREN | 2828 Ford Street, Oakland, CA 94601-2114 |
| Street Address |
15980 MARCELLA ST HILLSIDE RM 8 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275071680 | Seneca Family of Agencies | Community/Behavioral Health | 15980 Marcella St, Room B, San Leandro, CA 94578-2122 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341817 | Korean Community Center of The East Bay | Community/Behavioral Health | 101 Callan Ave Ste 400, San Leandro, CA 94577-4523 | 2018-10-04 |
| 1114429180 | Jasmyne Richmond | Community/Behavioral Health | 1570 164th Ave, San Leandro, CA 94578-2286 | 2018-03-06 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| 1477923209 | Biopsych Consulting | Community/Behavioral Health | 1684 E 14th St, #203, San Leandro, CA 94577-4800 | 2015-10-06 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1841608932 | Alliant International University | Community/Behavioral Health | 2200 Bancroft Ave, San Leandro, CA 94577-6108 | 2014-08-01 |
| 1235564667 | East Bay Agency for Children | Community/Behavioral Health | 1150 Bancroft Ave, San Leandro, CA 94577-3863 | 2013-09-04 |
| 1144655572 | East Bay Agency for Children | Community/Behavioral Health | 2200 Bancroft Ave Rm 501b503b, San Leandro, CA 94577-6108 | 2013-09-04 |
| 1649604760 | East Bay Agency for Children | Community/Behavioral Health | 1300 Williams St, San Leandro, CA 94577-2401 | 2013-08-26 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on EAST BAY AGENCY FOR CHILDREN.
| 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.