NPIMap

Organization Active NPI

Triad Family Services

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1346415338
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRIAD FAMILY SERVICES
Practice address
14433 Catalina St
San Leandro, CA 94577-5515
Phone
(510) 351-3665
Fax
(510) 351-3906
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Mark Dandeneau, MSW
Title
Executive Director
Phone
(916) 914-7269

Specialties & licenses 1

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

Addresses

Primary practice location

14433 Catalina St
San Leandro, CA 94577-5515

Mailing address

14433 Catalina St
San Leandro, CA 94577-5515
Phone (510) 351-3665

National Provider Directory

National Provider Directory
Tax ID family
Triad Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1346415338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 CATALINA ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775515",
            "telephone_number": "510-351-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 CATALINA ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775515",
            "telephone_number": "510-351-3665",
            "fax_number": "510-351-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "DANDENEAU",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-914-7269",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 2, 2010; 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.