Organization Active NPI

Tina Bollendorf

  • Case Management Agency
  • Oakland, CA
National Provider Identifier
1275879835
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MFC43033 Issued in CA
Legal business name
TINA BOLLENDORF
Practice address
3637 Grand Ave Ste E
Oakland, CA 94610-2029
Phone
(510) 544-9302
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Tina Bollendorf, MA
Title
Therapist
Phone
(510) 544-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MFC43033 CA Primary

Addresses

Primary practice location

3637 Grand Ave Ste E
Oakland, CA 94610-2029

Mailing address

3637 Grand Ave Ste E
Oakland, CA 94610-2029
Phone (510) 544-9302

National Provider Directory

National Provider Directory

Locations

3637 Grand Ave
Ste E
Oakland, CA 94610
Phone (510) 499-7137

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": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1275879835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 GRAND AVE STE E",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102029",
            "telephone_number": "510-544-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 GRAND AVE STE E",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102029",
            "telephone_number": "510-544-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA BOLLENDORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "BOLLENDORF",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "510-544-9302",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "MFC43033",
            "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 Dec 28, 2012; 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.