NPIMap

Organization Active NPI

Family Support Services

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1073715082
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SUPPORT SERVICES
Practice address
303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419
Phone
(510) 834-2443
Fax
(510) 834-1548
NPI assigned
Jun 1, 2007
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Elizabeth Adeyi
Title
Chief Operating Officer
Phone
(510) 834-2443

Specialties & licenses 1

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

Addresses

Primary practice location

303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419

Mailing address

303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419
Phone (510) 834-2443

Other identifiers 1

IdentifierTypeStateIssuer
01CXMedicaidCA

Other names 2

  • Family Support Services of the Bay Area Former legal business name
  • Growing Up Strong Other name

National Provider Directory

National Provider Directory

Locations

303 Hegenberger Rd
Ste 400
Oakland, CA 94621
Phone (510) 834-2443

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1073715082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HEGENBERGER RD STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211419",
            "telephone_number": "510-834-2443",
            "fax_number": "510-834-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HEGENBERGER RD STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211419",
            "telephone_number": "510-834-2443",
            "fax_number": "510-834-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "ADEYI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "510-834-2443"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01CX",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Support Services of the Bay Area",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Growing Up Strong",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Growing Up Strong",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 2018; 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.