CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY (NPI# 1639591209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639591209 |
| Entity Type | Organization |
| Organization Name | CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY |
| Other Organization Name | SUICIDE PREVENTION OF ALAMEDA COUNTY |
| Practice Address |
6117 Martin Luther King Jr Way Oakland CA 94609-1240 |
| Mailing Address |
Po Box 3120 Oakland CA 94609 |
| Practice Telephone | 5104202460 |
| Practice Fax Number | 5104202461 |
| Mailing Telephone | 5104202460 |
| Mailing Fax Number | 5104202461 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | NANCY SALAMY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5104202460 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Suicide Prevention of Alameda County | Former Legal Business Name - Organization |
| Street Address |
6117 MARTIN LUTHER KING JR WAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194924092 | East Bay Agency for Children | Community/Behavioral Health | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2007-07-12 |
| 1164077459 | Sarah Pebley | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2019-08-05 |
| 1841854775 | Sumaiyah Ali | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2019-04-25 |
| 1477117471 | Nora Kabli | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2019-04-24 |
| 1174081392 | Jade Moore-cleage | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2019-03-06 |
| 1285191247 | Kameelah Naimah Davis | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2019-02-26 |
| 1982174595 | Nivedita Thilagaraj | Marriage & Family Therapist | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2018-11-27 |
| 1184121162 | Natasha Marie Morowei | Community Health Worker | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2018-04-06 |
| 1023512951 | Sophia Koperweis | Social Worker | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2018-03-23 |
| 1295238780 | Tyjae' Chenevert | Counselor | 6117 Martin Luther King Jr Way, Oakland, CA 94609-1240 | 2018-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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 |
|---|---|---|---|---|
| 1679107056 | Caliber Autism Care LLC | Community/Behavioral Health | 2604 Invitational Dr, Oakland, MI 48363-2455 | 2020-02-25 |
| 1346894532 | Stars, Inc. | Community/Behavioral Health | 8000 Birch St, Oakland, CA 94621-2313 | 2019-07-26 |
| 1659923191 | Stars, Inc. | Community/Behavioral Health | 915 Foothill Blvd., Oakland, CA 94606-3013 | 2019-07-15 |
| 1285195537 | Diversity In Health Training Institute | Community/Behavioral Health | 310 8th St Ste 303, Oakland, CA 94607-4253 | 2019-03-28 |
| 1700362159 | Options Recovery Services | Community/Behavioral Health | 1630 10th St, Oakland, CA 94607-1426 | 2018-07-18 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1821501446 | Options Recovery Services | Community/Behavioral Health | 1020 59th St, Oakland, CA 94608-2302 | 2017-11-06 |
| 1649783267 | Options Recovery Services | Community/Behavioral Health | 1053 59th St, Oakland, CA 94608-2362 | 2017-11-06 |
| 1093228611 | Options Recovery Services | Community/Behavioral Health | 5121 West St, Oakland, CA 94608-3253 | 2017-11-06 |
| 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.