Provider Type Icon

WEST COAST CHILDREN'S CLINIC NPI 1902055411


NPI Information

NPI: 1902055411
Provider Name: WEST COAST CHILDREN'S CLINIC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3301 E 12TH ST
OAKLAND, CA
ZIP 94601
Phone: (510) 269-9042
Get Directions

WEST COAST 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. WEST COAST CHILDREN'S CLINIC NPI is 1902055411. The provider is registered as an organization entity type.

The provider's business location address is:

3301 E 12TH ST
OAKLAND, CA
ZIP 94601-424
Phone: (510) 269-9042
Fax: (510) 269-9031

The provider's authorized official is Kelley Bryan Gyn .
The authorized official title is Director Of Clinical Services and has the following contact phone number (510) 296-9042.

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


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 HealthYes

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

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.