NPIMap

Organization Active NPI

Alameda County

Doing business as Reach Ashland Youth Center

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1396178794
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALAMEDA COUNTY
Doing business as
Reach Ashland Youth Center
Practice address
16335 E 14TH Street
Room 109 & 117
San Leandro, CA 94578-3109
Phone
(510) 667-3276
NPI assigned
Aug 21, 2013
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Karyn L Tribble, PSYD, LCSW
Title
Director
Phone
(510) 567-8100

Specialties & licenses 1

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

Addresses

Primary practice location

16335 E 14TH Street
Room 109 & 117
San Leandro, CA 94578-3109

Mailing address

PO Box 129
San Leandro, CA 94577-0929

Other names 1

  • REACH ASHLAND YOUTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highland Gen HSP Emerg59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

16335 E 14th St
Rm 109
Ashland, CA 94578
Phone (510) 667-3276

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1396178794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945770929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 E 14TH STREET",
            "address_2": "ROOM 109 & 117",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783109",
            "telephone_number": "510-667-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-567-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACH ASHLAND YOUTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2024; 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.