NPIMap

Organization Active NPI

Ed Supports, LLC

  • Behavior Analyst
  • Oakland, CA
National Provider Identifier
1629465968
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11518077 Issued in CA
Legal business name
ED SUPPORTS, LLC
Practice address
1942 Embarcadero
Oakland, CA 94606-5213
Phone
(510) 832-4383
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Meredith Akers
Title
Executive Director
Phone
(510) 832-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 11518077 CA Primary

Addresses

Primary practice location

1942 Embarcadero
Oakland, CA 94606-5213

Mailing address

1942 Embarcadero
Oakland, CA 94606-5213
Phone (510) 832-4383

National Provider Directory

National Provider Directory
Tax ID family
Ed Support Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1942 Embarcadero
Oakland, CA 94606
Phone (510) 693-9079

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1629465968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 EMBARCADERO",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065213",
            "telephone_number": "510-832-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 EMBARCADERO",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065213",
            "telephone_number": "510-832-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED SUPPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-832-4383"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11518077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.