1. Home
  2. Directory
  3. California
  4. Oakland
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

ADOLESCENT TREATMENT CENTERS, INC AND THUNDER ROAD
NPI 1265891121
Community Based Residential Treatment Facility, Mental Illness in Oakland, CA

Active since February 19, 2016
390 40TH ST, OAKLAND, CA 94609(510) 653-5040(510) 653-6475 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adolescent Treatment Centers, Inc And Thunder Road NPPES

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

ADOLESCENT TREATMENT CENTERS, INC AND THUNDER ROAD (NPI 1265891121) is a healthcare organization registered as a community based residential treatment facility, mental illness in Oakland, California and active in the NPI registry since February 2016. The organization lists Katherine Svoboda, Supervisor Administration, as its authorized official.

NPPES Registry Identity

NPI1265891121
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameADOLESCENT TREATMENT CENTERS, INC AND THUNDER ROAD
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 653-5040 · Fax (510) 653-6475
Phone(510) 653-5040
Fax(510) 653-6475
Organization SubpartNo
Authorized OfficialKatherine SvobodaSupervisor Administration · (510) 653-5040
Enumeration DateFebruary 19, 2016
✔ NPI 1265891121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
390 40TH ST, Oakland, CA 94609
Open in Google Maps ↗

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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adolescent Treatment Centers, Inc And Thunder Road's NPI number?

The NPI number for Adolescent Treatment Centers, Inc And Thunder Road is 1265891121. It was assigned to this organization in the NPPES registry on February 19, 2016.

Where is Adolescent Treatment Centers, Inc And Thunder Road located?

Adolescent Treatment Centers, Inc And Thunder Road is located at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 653-5040.

What is Adolescent Treatment Centers, Inc And Thunder Road's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Adolescent Treatment Centers, Inc And Thunder Road was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.