EDEN OUTPATIENT - NPI 1023140787 - Community/Behavioral Health in San Leandro, CA

Q: What is Alameda County's NPI number?

The NPI number for Alameda County is 1023140787. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Eden Outpatient.

Q: What is Alameda County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Alameda County was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Eden Outpatient NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN OUTPATIENT (NPI 1023140787) is a healthcare organization registered as a community/behavioral health in San Leandro, California and active in the NPI registry since March 2007. The organization lists Karyn L Tribble, Director, as its authorized official.

NPPES Registry Identity

NPI1023140787

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameALAMEDA COUNTY

Location Address2045 FAIRMONT DRSan Leandro, CA 94578-1088

Mailing AddressPo Box 129San Leandro, CA 94577-0929

Phone(800) 878-1313

Organization SubpartNo

Authorized OfficialKaryn L TribbleDirector · (510) 567-8100

Enumeration DateMarch 9, 2007

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1023140787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

2045 FAIRMONT DR, San Leandro, CA 94578

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Other Names 1

Doing Business AsEden Outpatient

Other Identifiers 1

Medicaid000000112CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SADAYA ZIMMERLE L.C.S.W., MSW

Social Worker (Clinical)

2045 FAIRMONT DR, EDEN CSC
SAN LEANDRO, CA 94578

Alameda County (510) 667-3913

MISS JACQUELINE M SCHIANO

Rehabilitation Counselor