Active NPI
Catholic Charities of the East Bay
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1811035561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC41805
- Legal business name
- CATHOLIC CHARITIES OF THE EAST BAY
- Practice address
- 3540 Chestnut Ave
Concord, CA 94519-2417 - Phone
- (925) 825-3099
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. H. Roy Hammond, LCSW
- Title
- Director of Counseling Services
- Phone
- (510) 768-3103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC41805 | CA | Primary |
Addresses
Primary practice location
3540 Chestnut Ave
Concord, CA 94519-2417
Mailing address
433 Jefferson St
Oakland, CA 94607-3539
Phone (510) 768-3100
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Charities East Bay
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Oakland, CA
- NPI 1144820499
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1962540674
Locations
3540 Chestnut Ave
Concord, CA 94519
Phone (510) 768-3103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Concord, CA
- NPI 1346490653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811035561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 JEFFERSON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073539",
"telephone_number": "510-768-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 CHESTNUT AVE",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192417",
"telephone_number": "925-825-3099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC CHARITIES OF THE EAST BAY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMMOND",
"authorized_official_first_name": "H.",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "DIRECTOR OF COUNSELING SERVICES",
"authorized_official_telephone_number": "510-768-3103",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC41805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.