WESTCOAST CHILDREN'S CLINIC - NPI 1114163987 - Community/Behavioral Health in Oakland, CA

Q: What is Westcoast Children's Clinic's NPI number?

The NPI number for Westcoast Children's Clinic is 1114163987. It was assigned to this organization in the NPPES registry on December 30, 2008.

Q: What is Westcoast Children's Clinic's specialty?

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

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About Westcoast Children's Clinic NPPES

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

WESTCOAST CHILDREN'S CLINIC (NPI 1114163987) is a healthcare organization registered as a community/behavioral health in Oakland, California and active in the NPI registry since December 2008. The organization lists Kelley Bryan Gin, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1114163987

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameWESTCOAST CHILDREN'S CLINIC

Location Address3301 E 12TH ST STE 259Oakland, CA 94601-2940

Mailing Address3301 E 12th St Ste 259Oakland, CA 94601-2940 · (510) 269-9030 · Fax (510) 269-9031

Phone(510) 269-9030

Fax(510) 269-9031

Organization SubpartNo

Authorized OfficialKelley Bryan GinDirector Of Clinical Services · (510) 269-9042

Enumeration DateDecember 30, 2008

Last NPPES UpdateDecember 9, 2011

✔ NPI 1114163987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · 020000193

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.

3301 E 12TH ST STE 259, Oakland, CA 94601

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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.

SANAA BENJELLOUN

Specialist