DAVIS STREET COMMUNITY CENTER
NPI 1164621454
Community/Behavioral Health in San Leandro, CA

NPI Status: Active since July 16, 2007

Contact Information

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 347-4620
Fax: (510) 483-4486

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  • Organization
  • Community/Behavioral Health

About DAVIS STREET COMMUNITY CENTER

This page provides the complete NPI Profile along with additional information for Davis Street Community Center, a provider established in San Leandro, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164621454 assigned on July 2007. The practitioner's primary taxonomy code is 251S00000X with license number PSY25888 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Rosalia Mcmillen (Chief Fiscal Officer)

NPI
1164621454
Provider Name
DAVIS STREET COMMUNITY CENTER
Entity Type
Organization
Location Address
3081 TEAGARDEN ST SAN LEANDRO, CA 94577
Location Phone
(510) 347-4620
Location Fax
(510) 483-4486
Mailing Address
3081 TEAGARDEN ST SAN LEANDRO, CA 94577
Mailing Phone
(510) 347-4620
Mailing Fax
(510) 483-4486
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2007
Last Update Date
12-03-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
PSY25888
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

MFC 39862 (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSALIA MCMILLEN

Authorized Official Title
CHIEF FISCAL OFFICER
Authorized Official Phone
(510) 347-4760

Reviews for DAVIS STREET COMMUNITY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164621454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241222410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 2 + 2 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1164621454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. YVETTE JENNIFER PAREDES

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

KAHO SUGI

Psychologist

(Clinical)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MRS. BETTY J CALVIN CRT,M

Radiologic Technologist

(Mammography)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

KAREN BRANDMAN MFT

Marriage & Family Therapist

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

BRANDON AUSTIN M.A.

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MS. DANA MICHELLE EDWARDS

Community/Behavioral Health

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MS. SEPIDEH MAZLOUMI

Case Management

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

LAUREN KULLIVER MFT

Marriage & Family Therapist

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MISS FATIMA MENDOZA

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

LEILANI HART

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

IHSANA S SALMON

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MRS. EMMA RUTH CARTER-ALEXANDER

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

CARA MARIE LOCKE

Counselor

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

SHAREESE DIANE HILL

Student in an Organized Health Care Education/Training Program

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

DAVIS STREET FAMILY RESOURCE CENTER

Community/Behavioral Health

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MOLLY RUSSO

Counselor

(Mental Health)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

MIKA MCGAFFIE

Counselor

(Mental Health)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

ROSE CARTWRIGHT

Counselor

(Mental Health)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

DR. CHRISTINA CHANG-LYN CHOW DO

Pediatrics

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

BRYNA MARIE ANDRESSEN

Counselor

(Mental Health)

3081 TEAGARDEN ST
SAN LEANDRO, CA
ZIP 94577

(510) 347-4620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164621454, enumerated as an "organization" on July 16, 2007.

The provider is located at 3081 TEAGARDEN ST SAN LEANDRO, CA 94577 and the phone number is (510) 347-4620.

Community/Behavioral Health with taxonomy code 251S00000X.