Lincoln Child Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

52036 Issued in CA

Legal business name

LINCOLN CHILD CENTER

Practice address

4368 Lincoln Ave
Oakland, CA 94602-2529

Phone

(510) 531-3111

Fax

(510) 530-8083

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Lynn Carabajal, IMFT

Title

Day Treatment Clinician

Phone

(510) 531-3111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427105154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 JACKSON ST",
            "address_2": "APT. #107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124459",
            "telephone_number": "805-746-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 LINCOLN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022529",
            "telephone_number": "510-531-3111",
            "fax_number": "510-530-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CHILD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARABAJAL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DAY TREATMENT CLINICIAN",
        "authorized_official_telephone_number": "510-531-3111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "52036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln
• Lincoln
• Lincoln
• Lincoln
• Lincoln
• Lincoln Child Center
• Lincoln Family Services
• Todd L. Lincoln, MD
• Linda L Avery & Associates Physical Therapy Inc
• Brian K. Linde, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.