T&T'S House of Champions, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

T&T'S HOUSE OF CHAMPIONS, INC.

Practice address

2115 High St
Oakland, CA 94601-4335

Phone

(209) 475-8792

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Terry Pace

Title

Administrator

Phone

(209) 475-8792

Specialties & licenses 1

Addresses

Practitioners 2

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

• Gabrielle Joseph

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1427466796
  NPD
• Tammy L Sheffer-Woodward, MA, LLM, PSYD

  • Psychologist
  • Oakland, CA
  • NPI 1376886697
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1548877657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SILVEROAK CIR # B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197186",
            "telephone_number": "209-475-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 HIGH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014335",
            "telephone_number": "209-475-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&T'S HOUSE OF CHAMPIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-475-8792",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Gyula Sziraczky, MA, AMFT
• Riva Grace Szostkowski
• Maya Etty Sztainer
• Molly Szuminski, NP
• T.E.E Family Affair Ministry Inc
• Anh Ta
• Carolyn Gia an Ta
• Nancy Ta
• Quan Ta, MD
• Samantha Ta

• 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 May 4, 2021; 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.