Peers Envisioning and Engaging in Recovery Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEERS ENVISIONING AND ENGAGING IN RECOVERY SERVICES

Practice address

8393 Capwell Dr Ste 240
Oakland, CA 94621-2123

Phone

(510) 832-7337

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Lee Vanaman

Title

Executive Director

Phone

(510) 567-7612

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1396598173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8393 CAPWELL DR STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212123",
            "telephone_number": "510-832-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8393 CAPWELL DR STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212123",
            "telephone_number": "510-832-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERS ENVISIONING AND ENGAGING IN RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "VANAMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-567-7612"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Pedroza
• Darren Peech
• Peer Collective Inc
• Peer Wellness Collective
• Scott R Peerenboom, D.O.
• Jerolyn Peery, MA, PSYCHOLOGY
• Peggy Shultz Physical Therapy, Inc.
• Valentina Pejuhesh, MFT INTERN
• Rebecca Celia Pele
• Ronni Pelley

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.