NPIMap

Organization Active NPI

Girls Incorporated of Alameda County

  • Psychologist
  • San Leandro, CA
National Provider Identifier
1396846382
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GIRLS INCORPORATED OF ALAMEDA COUNTY
Practice address
433 Callan Ave Ste 101
San Leandro, CA 94577-4641
Phone
(510) 357-5515
Fax
(510) 318-5396
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Ms. Julayne Virgil
Title
Chief Executive Officer
Phone
(510) 357-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

433 Callan Ave Ste 101
San Leandro, CA 94577-4641

Mailing address

510 16TH St
Oakland, CA 94612-1520
Phone (510) 357-5515

Other names 1

  • Pathways Counseling Center Other name

National Provider Directory

National Provider Directory

Locations

13666 E 14th St
San Leandro, CA 94578
Phone (510) 357-5515

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1396846382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 16TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121520",
            "telephone_number": "510-357-5515",
            "fax_number": "510-318-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CALLAN AVE STE 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774641",
            "telephone_number": "510-357-5515",
            "fax_number": "510-318-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRLS INCORPORATED OF ALAMEDA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "VIRGIL",
        "authorized_official_first_name": "JULAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-357-5515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Counseling Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pathways Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 14, 2018; 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.