Active NPI
East Bay Agency for Children
- Community/Behavioral Health Agency
- Oakland, CA
National Provider Identifier
1295930386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 45948
- Legal business name
- EAST BAY AGENCY FOR CHILDREN
- Practice address
- 2540 Charleston St
Oakland, CA 94602-2508 - Phone
- (510) 225-8300
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Valda Jean Dounveor, M.A., MFT INTERN
- Title
- Clinical Social Worker
- Phone
- (510) 225-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 45948 | CA | Primary |
Addresses
Primary practice location
2540 Charleston St
Oakland, CA 94602-2508
Mailing address
2540 Charleston St
Oakland, CA 94602-2508
Phone (510) 225-8300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369699200000",
"number": "1295930386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 CHARLESTON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022508",
"telephone_number": "510-225-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 CHARLESTON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022508",
"telephone_number": "510-225-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST BAY AGENCY FOR CHILDREN",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2013-05-28",
"status": "A",
"authorized_official_last_name": "DOUNVEOR",
"authorized_official_first_name": "VALDA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "510-225-8300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A., MFT INTERN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "45948",
"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 May 28, 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.