Organization Active NPI

Stars Behavioral Health Services

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1285068411
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
72957 Issued in CA
Legal business name
STARS BEHAVIORAL HEALTH SERVICES
Practice address
545 Estudillo Ave
San Leandro, CA 94577-4611
Phone
(510) 352-9200
NPI assigned
Aug 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Jeanie Lynch, MFT
Title
Director of School-Based Services
Phone
(510) 352-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 72957 CA Primary

Addresses

Primary practice location

545 Estudillo Ave
San Leandro, CA 94577-4611

Mailing address

545 Estudillo Ave
San Leandro, CA 94577-4611

National Provider Directory

National Provider Directory

Locations

545 Estudillo Ave
San Leandro, CA 94577
Phone (510) 352-9200

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1285068411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-352-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "DIRECTOR OF SCHOOL-BASED SERVICES",
        "authorized_official_telephone_number": "510-352-9200",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "72957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.