Organization Active NPI

Seneca Family of Agencies

Doing business as Thousand Oaks Elementary

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1134507288
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SENECA FAMILY OF AGENCIES
Doing business as
Thousand Oaks Elementary
Practice address
840 Colusa Ave
Berkeley, CA 94707-1858
Phone
(510) 644-6368
NPI assigned
May 9, 2015
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Katherine West
Title
Chief Operations Officer
Phone
(510) 520-0935

Specialties & licenses 1

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

Addresses

Primary practice location

840 Colusa Ave
Berkeley, CA 94707-1858

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 654-4004

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Thousand Oaks Elementary Doing business as

National Provider Directory

National Provider Directory
Part of
Seneca Family of Agencies

Locations

840 Colusa Ave
Berkeley, CA 94707
Phone (510) 559-3009

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1134507288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-654-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 COLUSA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947071858",
            "telephone_number": "510-644-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2015-05-09",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "510-520-0935"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Oaks Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.