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WESTCOAST CHILDREN'S CLINIC NPI 1114163987


NPI Information

NPI: 1114163987
Provider Name: WESTCOAST CHILDREN'S CLINIC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3301 E 12TH ST STE 259
OAKLAND, CA
ZIP 94601
Phone: (510) 269-9030
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WESTCOAST CHILDREN'S CLINIC is a community behavioral health in Oakland, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. WESTCOAST CHILDREN'S CLINIC NPI is 1114163987. The provider is registered as an organization entity type.

The provider's business location address is:

3301 E 12TH ST STE 259
OAKLAND, CA
ZIP 94601-940
Phone: (510) 269-9030
Fax: (510) 269-9031

The provider's authorized official is Kelley Bryan Gin .
The authorized official title is Director Of Clinical Services and has the following contact phone number (510) 269-9042.

The enumeration date for this NPI number is 12/30/2008 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health020000193CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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