NPIMap

Organization Active NPI

Fred Finch Youth Center

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1992930259
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FRED FINCH YOUTH CENTER
Practice address
4730 Fleming Ave
Oakland, CA 94619-2515
Phone
(510) 482-2244
NPI assigned
May 15, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Thomas N Alexander, LCSW
Title
President and Ceo
Phone
(510) 482-2244

Corporate family (same tax ID) 12

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

National Provider Directory

National Provider Directory
Tax ID family
Fred Finch Children'S Home (58 organizations share this tax ID)

Locations

4730 Fleming Ave
Oakland, CA 94619
Phone (510) 879-2152

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

NPPES NPI Registry

Primary practice location

4730 Fleming Ave
Oakland, CA 94619-2515

Mailing address

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

Other names 1

NPPES NPI Registry
  • Fred Finch Youth Center-Melrose Leadership Academy Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2016.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1992930259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COOLIDGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023311",
            "telephone_number": "510-482-2244",
            "fax_number": "510-488-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 FLEMING AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192515",
            "telephone_number": "510-482-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED FINCH YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-482-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Finch Youth Center-Melrose Leadership Academy",
            "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 Sep 23, 2016; 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.