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EBAC-ROOTS INTL ACADEMY & COLISEUM COLLEGE PREP ACADEMY
NPI 1467889162
Community/Behavioral Health in Oakland, CA

Active since September 26, 2013
1390 66TH AVE, OAKLAND, CA 94621(510) 918-8424 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, Oct 1, 2018 (2 updates tracked since 2018).

About Ebac-roots Intl Academy & Coliseum College Prep Academy NPPES

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

EBAC-ROOTS INTL ACADEMY & COLISEUM COLLEGE PREP ACADEMY (NPI 1467889162) is a healthcare organization registered as a community/behavioral health in Oakland, California and active in the NPI registry since September 2013. The organization lists Jeannette Rodriguez, Cqi Administrative Coordinator, as its authorized official.

NPPES Registry Identity

NPI1467889162
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEAST BAY AGENCY FOR CHILDREN
Location Address1390 66TH AVEOakland, CA 94621-3506
Mailing Address2828 Ford StOakland, CA 94601-2114 · (510) 268-3770
Phone(510) 918-8424
Organization SubpartYes
Authorized OfficialJeannette RodriguezCqi Administrative Coordinator · (510) 844-5368
Enumeration DateSeptember 26, 2013
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1467889162 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.
1390 66TH AVE, Oakland, CA 94621
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Other Names 1

Doing Business AsEbac-roots Intl Academy & Coliseum College Prep Academy

Other Providers at the Same Location NPPES 9

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

AMBER NUTTER
Social Worker (Clinical)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-1981
KAREN L GERSTEN-ROTHENBERG MSN, RN, NPF
Nurse Practitioner (Family)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-1981
EMILY JEW
Specialist/Technologist (Speech-Language Assistant)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 879-3232
LA CLINICA DE LA RAZA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-1981
MARISOL ENOS
Social Worker (Clinical)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-3226
ALLIANT INTERNATIONAL UNIVERSITY
Community/Behavioral Health
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-3214
OAKLAND UNIFIED SCHOOL DISTRICT
Local Education Agency (LEA)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-3226
BARBARA RUTH CAMPBELL LCSW
Social Worker (Clinical)
1390 66TH AVE
OAKLAND, CA 94621
Alameda County (510) 639-1981

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 East Bay Agency For Children's NPI number?

The NPI number for East Bay Agency For Children is 1467889162. It was assigned to this organization in the NPPES registry on September 26, 2013. The provider is doing business as Ebac-Roots Intl Academy & Coliseum College Prep Academy.

Where is East Bay Agency For Children located?

East Bay Agency For Children is located at 1390 66th Ave, Oakland, CA 94621. The listed phone number is (510) 918-8424.

What is East Bay Agency For Children's specialty?

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

When was this NPI record last updated?

The NPPES record for East Bay Agency For Children was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.