NPIMap

Organization Active NPI

Fred Finch Youth Ctr.

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1043495831
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMF 53142 Issued in CA
Legal business name
FRED FINCH YOUTH CTR.
Practice address
3800 Coolidge Ave.
Building H
Oakland, CA 94602
Phone
(570) 482-2244
Fax
(510) 485-5351
NPI assigned
Dec 31, 2007
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Ronald Kevin Harris, MFTI
Title
PSC/Ma, Mfti
Phone
(570) 482-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMF 53142 CA Primary

Addresses

Primary practice location

3800 Coolidge Ave.
Building H
Oakland, CA 94602

Mailing address

3800 Coolidge Ave.
Oakland, CA 94602
Phone (510) 482-2244

National Provider Directory

National Provider Directory
Tax ID family
Fred Finch Youth Ctr58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

3800 Coolidge Ave
Bldg H
Oakland, CA 94602
Phone (570) 482-2244

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1043495831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-482-2244",
            "fax_number": "570-485-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE.",
            "address_2": "BUILDING H",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "570-482-2244",
            "fax_number": "510-485-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED FINCH YOUTH CTR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PSC/MA, MFTI",
        "authorized_official_telephone_number": "570-482-2244",
        "authorized_official_credential": "MFTI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "IMF 53142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.