EAST BAY AGENCY FOR CHILDREN


Address: 3670 Penniman Ave, Oakland, CA 94619-1116
Phone: 5102683770

EAST BAY AGENCY FOR CHILDREN (NPI# 1891219580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891219580
Entity Type Organization
Organization Name EAST BAY AGENCY FOR CHILDREN
Other Organization Name ALLENDALE
Practice Address 3670 Penniman Ave
Oakland
CA 94619-1116
Mailing Address 303 Van Buren Ave
Oakland
CA 94610-4340
Practice Telephone 5102683770
Enumeration Date 2017-08-03
Last Update Date 2018-10-01
Authorized Official Name MAY FUNABIKI (DIRECTOR CQI)
Authorized Official Telephone 5102683770
Is Organization Subpart Y
Parent Organization Name EAST BAY AGENCEY FOR CHILDREN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Allendale Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations EAST BAY AGENCY FOR CHILDREN 2828 Ford Street, Oakland, CA 94601-2114

Office Location

Street Address 3670 PENNIMAN AVE
City OAKLAND
State CA
Zip Code 94619-1116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427318377 Ann Martin Center Community/Behavioral Health 3670 Penniman Ave, Oakland, CA 94619-1116 2012-05-25
1972165710 Lincoln Community/Behavioral Health 3670 Penniman Ave, Oakland, CA 94619-1116 2019-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306365390 Jon Gerard Murphy Registered Nurse Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 2017-09-12
1992161947 Virginia Stout Downing Dental Hygienist 5707 Redwood Road, #19, Oakland, CA 94619 2016-01-06
1770900045 Amy Klapper Counselor 4452 Davenport Aven, Oakland, CA 94619 2014-03-25
1922395797 Lawrence W Bryer Psychiatry & Neurology 5131 Parkridge Dr, Oakland, CA 94619 2011-06-30
1255403168 Michelle Denise Hooker Social Worker 2369 84th Avenue, Oakland, CA 94619 2006-11-15
1447338512 William H. Birdsong Iv Emergency Medicine 661 Via Rialto, Oakland, CA 94619 2006-11-02
1861570814 Zell Nathanson Speech-Language Pathologist 5424 Fernhoff Rd, Oakland, CA 94619 2006-11-01
1902439623 Miranda Claggette Counselor 3906 Loma Vista Ave, Oakland, CA 94619 2020-02-20
1518443282 Gabriela Ivanna Vargas Counselor 3695 High St, Oakland, CA 94619 2018-07-16
1275130148 Remi Drew Massage Therapist 3630 Penniman Ave, Oakland, CA 94619-1116 2020-10-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City OAKLAND
Zip Code 94619

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Dataset Information

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.

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