NPIMap

Organization Active NPI

Embracing Autism Collaborative Services

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1740651447
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMBRACING AUTISM COLLABORATIVE SERVICES
Practice address
1944 Mountain Blvd
Oakland, CA 94611-2813
Phone
(510) 692-8640
NPI assigned
Oct 8, 2015
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Nicole Martin
Title
Co-Founder
Phone
(510) 692-8640

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1944 Mountain Blvd
Oakland, CA 94611-2813

Mailing address

1944 Mountain Blvd
Oakland, CA 94611-2813
Phone (510) 692-8640

Other names 1

  • EACS Other name

National Provider Directory

National Provider Directory

Locations

1944 Mountain Blvd
Oakland, CA 94611
Phone (510) 692-8640

Practitioners & affiliated clinicians

Practitioners 5

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1740651447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 MOUNTAIN BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112813",
            "telephone_number": "510-692-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 MOUNTAIN BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112813",
            "telephone_number": "510-692-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING AUTISM COLLABORATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "510-692-8640"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 13, 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.