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FRED FINCH YOUTH CENTER NPI 1316009558


NPI Information

NPI: 1316009558
Provider Name: FRED FINCH YOUTH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3800 COOLIDGE AVE
OAKLAND, CA
ZIP 94602
Phone: (510) 482-2244
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FRED FINCH YOUTH CENTER 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. FRED FINCH YOUTH CENTER NPI is 1316009558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3800 COOLIDGE AVE
OAKLAND, CA
ZIP 94602-311
Phone: (510) 482-2244
Fax: (510) 488-1960

The provider's authorized official is Thomas N Alexander .
The authorized official title is President And Ceo and has the following contact phone number (510) 482-2244.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/28/2022.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YS0200XCounselorSchoolNo
5103T00000XPsychologistNo
6103TB0200XPsychologistCognitive & BehavioralNo
7103TC0700XPsychologistClinicalNo
8103TC2200XPsychologistClinical Child & AdolescentNo
9103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
101041C0700XSocial WorkerClinicalNo
11106H00000XMarriage & Family TherapistNo
12320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
13251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100113OTHERCALIFORNIALEGAL ENTITY NUMBER
200G503291OTHERCALIFORNIAPROVIDER ID
301260208MEDICAIDCALIFORNIA
401870808MEDICAIDCALIFORNIA
501761908MEDICAIDCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.