Organization Active NPI

Saving Grace Community Center of the East Bay

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1194262881
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC# 48253 Issued in CA
Legal business name
SAVING GRACE COMMUNITY CENTER OF THE EAST BAY
Practice address
81 Jackson St
Hayward, CA 94544-1905
Phone
(510) 258-8869
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Dr. Jacqueline Alice Smith, LMFT
Title
Executive Director
Phone
(510) 258-8869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC# 48253 CA Primary

Addresses

Primary practice location

81 Jackson St
Hayward, CA 94544-1905

Mailing address

81 Jackson St
Hayward, CA 94544-1905
Phone (510) 258-8869

National Provider Directory

National Provider Directory

Locations

81 Jackson St
Hayward, CA 94544
Phone (510) 258-8869

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1194262881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 JACKSON ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441905",
            "telephone_number": "510-258-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 JACKSON ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441905",
            "telephone_number": "510-258-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACE COMMUNITY CENTER OF THE EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-258-8869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC# 48253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

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