NPIMap

Organization Active NPI

Young Men'S Christian Association of the East Bay

  • Mental Health Counselor
  • Richmond, CA
National Provider Identifier
1700934403
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY
Practice address
3260 Blume Dr
Suite 450
Richmond, CA 94806-5203
Phone
(510) 262-6551
Fax
(510) 222-7085
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Don Lau, M.A.
Title
Interim President and Ceo
Phone
(510) 318-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3260 Blume Dr
Suite 450
Richmond, CA 94806-5203

Mailing address

2330 Broadway
Oakland, CA 94612
Phone (510) 451-9622

Other names 1

  • Y Team Other name

National Provider Directory

National Provider Directory
Tax ID family
Y Team2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3260 Blume Dr
Ste 450
Richmond, CA 94806
Phone (510) 262-6551

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1700934403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-451-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BLUME DR",
            "address_2": "SUITE 450",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065203",
            "telephone_number": "510-262-6551",
            "fax_number": "510-222-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-318-7654",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Y Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.