LIFELONG MEDICAL (NPI# 1801206446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801206446 |
| Entity Type | Organization |
| Organization Name | LIFELONG MEDICAL |
| Practice Address |
1415 Harrison St 201 Oakland CA 94612-3922 |
| Practice Telephone | 5102389380 |
| Mailing Telephone | 5102389380 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | BRENDA GOLDSTEIN (PSYCHOSOCIAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 5109814136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | FHC70474G | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70474G | 05 |
| Street Address |
1415 HARRISON ST 201 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871919233 | Lifelong Medical Care | Case Management | 1415 Harrison St, Oakland, CA 94612-3922 | 2014-03-10 |
| 1811380082 | Milbert Middlebrooks I | Counselor | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2015-03-12 |
| 1477964435 | Maria Esguerra | Case Management | 1415 Harrison St, Room 201, Oakland, CA 94612-3922 | 2014-05-13 |
| 1083025076 | Jada Folse | Case Management | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2014-05-13 |
| 1457761025 | Lifelong Medical Care | Community/Behavioral Health | 1415 Harrison St, 201, Oakland, CA 94612-3922 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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.