NPIMap

Organization Active NPI

City of Fremont

Doing business as Robertson High School

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1205262177
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
70253412200 Issued in CA
Legal business name
CITY OF FREMONT
Doing business as
Robertson High School
Practice address
4455 Seneca Park Ave
Fremont, CA 94538-4028
Phone
(510) 657-9155
Fax
(510) 657-5535
NPI assigned
Sep 23, 2013
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Helen H Hsu, PSY.D.
Title
Clinical Supervisor
Phone
(510) 574-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 70253412200 CA Primary

Addresses

Primary practice location

4455 Seneca Park Ave
Fremont, CA 94538-4028

Mailing address

39155 Liberty St
Suite E 500
Fremont, CA 94538-1513
Phone (510) 574-2100

Other names 1

  • Robertson High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Fremont32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners & affiliated clinicians

Practitioners 2

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": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1205262177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST",
            "address_2": "SUITE E 500",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381513",
            "telephone_number": "510-574-2100",
            "fax_number": "510-574-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 SENECA PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384028",
            "telephone_number": "510-657-9155",
            "fax_number": "510-657-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "510-574-2135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "70253412200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.