NPIMap

Organization Active NPI

Seneca Family of Agencies

Doing business as Longfellow Middle School

  • Community/Behavioral Health Agency
  • Berkeley, CA
National Provider Identifier
1669752937
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SENECA FAMILY OF AGENCIES
Doing business as
Longfellow Middle School
Practice address
1500 Derby St
Berkeley, CA 94703-1817
Phone
(510) 644-6360
NPI assigned
Aug 18, 2011
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Sandy Hobson
Title
Quality Assurance Director
Phone
(510) 725-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1500 Derby St
Berkeley, CA 94703-1817

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 654-4004

Other practice location 1

1980 Allston Way
Berkeley, CA 94704-1463
Phone (510) 317-1446

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Longfellow Middle School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000017 CA Part B Supplier - Clinic/Group Practice 7416145594 Receives reassigned benefits from 4 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Oakland, CA; Redlands, CA; Richmond, CA; Salinas, CA; San Francisco, CA; San Jose, CA; San Leandro, CA; San Rafael, CA…

National Provider Directory

National Provider Directory
Tax ID family
Seneca Center CTF149 organizations share this tax ID, including this one
Part of
Seneca Center CTF

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1500 Derby St
Berkeley, CA 94703
Phone (510) 644-6360

1980 Allston Way
Berkeley, CA 94704
Phone (510) 644-4573

Practitioners & affiliated clinicians

Practitioners 1

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1669752937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-654-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DERBY ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031817",
            "telephone_number": "510-644-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041463",
            "country_code": "US",
            "telephone_number": "510-317-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2011-08-18",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "510-725-5727"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longfellow Middle School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Longfellow Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.