ROSHELLE OGUNDELE LICENSED CLINICAL SOCIAL WORKER INC (NPI# 1861041626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861041626 |
Entity Type | Organization |
Organization Name | ROSHELLE OGUNDELE LICENSED CLINICAL SOCIAL WORKER INC |
Practice Address |
2940 Summit St Oakland CA 94609-3416 |
Mailing Address |
3727 Virden Ave Oakland CA 94619-1536 |
Practice Telephone | 5105606271 |
Mailing Telephone | 5166471370 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |
Authorized Official Name | ROSHELLE A OGUNDELE (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Telephone | 5166471370 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
2940 SUMMIT ST |
City | OAKLAND |
State | CA |
Zip Code | 94609-3416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770539041 | Comprehensive Allergy Service Medical Clinic, Inc | Pediatrics | 2940 Summit St, #1 Comprehensive Allergy Services, Oakland, CA 94609-3405 | 2006-05-26 |
1477089027 | Jessica Holland Ornstein | Acupuncturist | 2940 Summit St, Suite 2b, Oakland, CA 94609-3416 | 2017-05-02 |
1356872824 | Norval Hickman IIi | Psychologist | 2940 Summit St, Suite 2d, Oakland, CA 94609-3416 | 2017-03-25 |
1700331626 | Core Insights Psychological Group, Inc. | Psychologist | 2940 Summit St, Suite 2c, Oakland, CA 94609-3416 | 2016-08-21 |
1043639222 | Tony Chan | Psychiatry & Neurology | 2940 Summit St, Oakland, CA 94609-3416 | 2014-04-15 |
1821422999 | Maggie Dill | Massage Therapist | 2940 Summit St, Suite 2c, Oakland, CA 94609-3416 | 2013-08-26 |
1366712481 | Phillip Darryl Macfarland | Psychologist | 2940 Summit St, Suite 2a, Oakland, CA 94609-3416 | 2012-01-05 |
1023320496 | Shelia Lastie | Counselor | 2940 Summit St, Ste 2d, Oakland, CA 94609-3416 | 2010-07-13 |
1336460484 | Godfrey Nunoo | Chiropractor | 2940 Summit St, #2c, Oakland, CA 94609-3416 | 2010-06-11 |
1881924546 | Dermont Matarjaro Spell | Chiropractor | 2940 Summit St, Ste 2c, Oakland, CA 94609 | 2009-12-31 |
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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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
1467015842 | Karen Sprinkel, Individual & Family Trauma Therapy Corporation | Clinic/Center | 3511 Monterey Blvd, Oakland, CA 94619-1606 | 2019-04-21 |
1093014151 | David Pingitore, Phd, Clin. Psych., Inc. | Clinic/Center | 120 Glen Eden Ave, Oakland, CA 94611-4319 | 2011-03-15 |
1629379896 | La Clinica De La Raza, Inc. | Clinic/Center | 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 | 2010-11-04 |
1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
1801983960 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2006-10-09 |
1871065813 | Specialty Physicians of Garrett County, LLC | Clinic/Center | 69 Wolf Acres Dr Lowr Level, Oakland, MD 21550-2046 | 2018-12-31 |
1801305776 | Christie Lee | Clinic/Center | 2501 Harrison St, Oakland, CA 94612-3811 | 2017-09-23 |
1174050389 | Telecare Corporation | Clinic/Center | 7200 Bancroft Ave., Suite 133, Building B, Oakland, CA 94605-2480 | 2017-05-18 |
1497192900 | Children's Hospital Research Center Oakland | Clinic/Center | 747 52nd St, Oakland, CA 94609-1809 | 2013-05-24 |
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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.