Mireya Ileana Tellechea

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108997 Issued in CA

Practice address

1700 Market St
Oakland, CA 94607-3330

Phone

(510) 543-0078

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1932800299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073330",
            "telephone_number": "510-543-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073330",
            "telephone_number": "510-543-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLECHEA",
        "first_name": "MIREYA",
        "middle_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telecare Heritage Psychiatric Healthy Facility
• Annabelle Teleki, B.A.
• Andrea Telfer, FNP-C
• Haley Marie Telgen, BCBA
• Sonia Telle, MA
• Angelo Alberto Garcia Tellez
• Daniel Tello
• Temescal Acupuncture Center Inc.
• Temescal Creek Medicine Professional Corporation
• Raina F Tempestini

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.