NPIMap

Organization Active NPI

Oakland Unified School District

  • Local Education Agency (LEA)
  • Oakland, CA
National Provider Identifier
1366794521
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
LCSW 21739 Issued in CA
Legal business name
OAKLAND UNIFIED SCHOOL DISTRICT
Practice address
2369 84TH Avenue
Oakland, CA 94605-3550
Phone
(510) 879-0131
Fax
(510) 879-0133
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Genevieve Sarah Higgins Reis, LCSW, PPSC
Title
Clinical Supervisor
Phone
(510) 874-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X LCSW 21739 CA Primary

Addresses

Primary practice location

2369 84TH Avenue
Oakland, CA 94605-3550

Mailing address

2850 West St
Oakland, CA 94608-4536
Phone (510) 874-3710

Other names 1

  • Hillside Academy Other name

National Provider Directory

National Provider Directory
Tax ID family
Oakland Unified School District24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1366794521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WEST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084536",
            "telephone_number": "510-874-3710",
            "fax_number": "510-874-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 84TH AVENUE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053550",
            "telephone_number": "510-879-0131",
            "fax_number": "510-879-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "SARAH HIGGINS",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "510-874-3710",
        "authorized_official_credential": "LCSW, PPSC"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "LCSW 21739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 11, 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.