Organization Active NPI

Fred Finch

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1275725632
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRED FINCH
Practice address
3721 13TH Ave
Oakland, CA 94610-2819
Phone
(510) 333-2247
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mr. Souamhila Cisse
Title
Mentak Health Counselor
Phone
(510) 333-2247

Specialties & licenses 1

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

Addresses

Primary practice location

3721 13TH Ave
Oakland, CA 94610-2819

Mailing address

3712 13TH Ave
Oakland, CA 94610
Phone (510) 333-2247

National Provider Directory

National Provider Directory

Locations

3712 13TH Ave
Oakland, CA 94610

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1275725632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 13TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-333-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 13TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102819",
            "telephone_number": "510-333-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED FINCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "SOUAMHILA",
        "authorized_official_title_or_position": "MENTAK HEALTH COUNSELOR",
        "authorized_official_telephone_number": "510-333-2247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 9, 2007; 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.