American Indian Child Resource Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMERICAN INDIAN CHILD RESOURCE CENTER

Practice address

522 Grand Ave
Oakland, CA 94610-3515

Phone

(510) 208-1870

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Andrew DemersNPI 1992166466

Title

Counseling Manager

Phone

(510) 208-1870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Demers

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1992166466
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1356034375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103515",
            "telephone_number": "510-208-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN CHILD RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "COUNSELING MANAGER",
        "authorized_official_telephone_number": "510-208-1870"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.