Tri-Cities Community Development Center

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

TRI-CITIES COMMUNITY DEVELOPMENT CENTER

Practice address

37620 Filbert St
Newark, CA 94560-3538

Phone

(510) 790-9092

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Edward Wright

Title

Executive Director

Phone

(510) 386-5938

Specialties & licenses 1

Addresses

Other names 1

• Tricities Community Development Center Doing business as

Locations

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1083320543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37620 FILBERT ST",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603538",
            "telephone_number": "510-790-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37620 FILBERT ST",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603538",
            "telephone_number": "510-790-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-386-5938"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricities Community Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pastoral Counselor in Newark, CA
• Providers in Newark, CA by specialty
• Pastoral Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.