Organization Active NPI

Educational & Therapeutic Services, Inc.

  • Community/Behavioral Health Agency
  • Hayward, CA
National Provider Identifier
1538550561
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-12-12171 Issued in CA
Legal business name
EDUCATIONAL & THERAPEUTIC SERVICES, INC.
Practice address
27126 Grandview Ave
Hayward, CA 94542-2324
Phone
(510) 688-8166
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mrs. Laura Diogo Simpson, BCBANPI 1386882256
Title
Ceo
Phone
(510) 688-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1-21--12171 CA
Community/Behavioral Health Agency 251S00000X 1-12-12171 CA Primary

Addresses

Primary practice location

27126 Grandview Ave
Hayward, CA 94542-2324

Mailing address

27126 Grandview Ave
Hayward, CA 94542-2324
Phone (510) 688-8166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1538550561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27126 GRANDVIEW AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422324",
            "telephone_number": "510-688-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27126 GRANDVIEW AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422324",
            "telephone_number": "510-688-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL & THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DIOGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-688-8166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "1-21--12171",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-12-12171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.