Organization Active NPI

Center for Social Dynamics

  • Community/Behavioral Health Agency
  • Alameda, CA
National Provider Identifier
1003340647
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTER FOR SOCIAL DYNAMICS
Practice address
1025 Atlantic Ave
101
Alameda, CA 94501-1189
Phone
(510) 268-8120
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Kimberly Coenen
Title
Human Resources Director
Phone
(510) 268-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1025 Atlantic Ave
101
Alameda, CA 94501-1189

Mailing address

1025 Atlantic Ave
101
Alameda, CA 94501-1189
Phone (510) 268-8120

National Provider Directory

National Provider Directory

Locations

1025 Atlantic Ave
Ste 101
Alameda, CA 94501
Phone (510) 328-7178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1003340647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE",
            "address_2": "101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011189",
            "telephone_number": "510-268-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE",
            "address_2": "101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011189",
            "telephone_number": "510-268-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SOCIAL DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "COENEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "HUMAN RESOURCES DIRECTOR",
        "authorized_official_telephone_number": "510-268-8120",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.