| Bay Area Community Services, Inc. | |
|
629 Oakland Ave Oakland CA 94611-4567 | |
| (510) 613-0330 | |
| Not Available |
| Full Name | Bay Area Community Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 629 Oakland Ave, Oakland, California |
| Authorized Official Name and Position | Michael Stanton Ward (GENERAL COUNSEL) |
| Authorized Official Contact | 5102197451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Services, Inc. 390 40th St Oakland CA 94609-2633 Ph: (510) 613-0330 | Bay Area Community Services, Inc. 629 Oakland Ave Oakland CA 94611-4567 Ph: (510) 613-0330 |
| NPI Number | 1235349572 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 5890028781 |
|---|---|
| Medicare Enrollment ID | O20190607001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235349572 | NPI | - | NPPES |
| 01028 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Edward Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386660447 PECOS PAC ID: 1850297664 Enrollment ID: I20031211000649 |
| Provider Name | Christopher E Berger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063679017 PECOS PAC ID: 9335394667 Enrollment ID: I20130312000386 |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538506126 PECOS PAC ID: 4183942410 Enrollment ID: I20150427002395 |
| Provider Name | Ruth Mondolfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568704641 PECOS PAC ID: 1456626266 Enrollment ID: I20171004002275 |
| Provider Name | Andrea Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861783 PECOS PAC ID: 8820335227 Enrollment ID: I20190123002095 |
| Provider Name | Jasmine Malika Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997637 PECOS PAC ID: 5597002725 Enrollment ID: I20190125003099 |
| Provider Name | Joseph N Kenan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225302755 PECOS PAC ID: 0345499281 Enrollment ID: I20190927000407 |
| Provider Name | Kevin S Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225370885 PECOS PAC ID: 6103258751 Enrollment ID: I20191119003333 |
| Provider Name | Lawrence W Bryer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922395797 PECOS PAC ID: 8921431479 Enrollment ID: I20191213001884 |
| Provider Name | Marilyn Jean Vache |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851314157 PECOS PAC ID: 6608893557 Enrollment ID: I20191213002281 |
| Provider Name | Katherine L. Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780062471 PECOS PAC ID: 0648604686 Enrollment ID: I20191227000254 |
| Provider Name | Paul Julio Calloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457764086 PECOS PAC ID: 7012342736 Enrollment ID: I20200127000894 |
| Provider Name | Robert R Delisle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598194268 PECOS PAC ID: 6507281425 Enrollment ID: I20200810000160 |
| Provider Name | Maitreya Deva Rosiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235565516 PECOS PAC ID: 4082004148 Enrollment ID: I20211203000073 |
| Provider Name | Sarah Kahleen Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841430022 PECOS PAC ID: 4183095722 Enrollment ID: I20230119000435 |
| Provider Name | Brittney Lee Diebold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699201004 PECOS PAC ID: 0446622682 Enrollment ID: I20230215002929 |
| Provider Name | Jeanette Lenay Nunes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700549177 PECOS PAC ID: 4688042997 Enrollment ID: I20230328001119 |
| Provider Name | Renee Michelle Musgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407554330 PECOS PAC ID: 3375908742 Enrollment ID: I20230509000243 |
| Provider Name | Shwetha Katta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184039042 PECOS PAC ID: 6103043138 Enrollment ID: I20230612000998 |
| Provider Name | Jonathan Darrell Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255099107 PECOS PAC ID: 8921466467 Enrollment ID: I20230615001652 |
| Provider Name | Britany Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104376839 PECOS PAC ID: 3971964065 Enrollment ID: I20230807000015 |
| Provider Name | Ana-naomi Racataian Holland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790215408 PECOS PAC ID: 8325409329 Enrollment ID: I20230807000837 |
| Provider Name | Ranecia Jean Cormier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225596687 PECOS PAC ID: 8022471036 Enrollment ID: I20230823004131 |
| Provider Name | Brian Kenneth Lempa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891228144 PECOS PAC ID: 3072886589 Enrollment ID: I20230919003697 |
| Provider Name | Carla M Felten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194152355 PECOS PAC ID: 1658716402 Enrollment ID: I20240301003647 |
| Provider Name | Andrea Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144612979 PECOS PAC ID: 8325486236 Enrollment ID: I20240410002299 |
| Provider Name | Shaun Orrante |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255736310 PECOS PAC ID: 7012357064 Enrollment ID: I20240424003566 |
| Provider Name | Sidney Caldwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427473636 PECOS PAC ID: 0446690408 Enrollment ID: I20240424004204 |
| Provider Name | Anna Morris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073921383 PECOS PAC ID: 1557701430 Enrollment ID: I20240425000975 |
| Provider Name | Emily Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386169944 PECOS PAC ID: 5395185706 Enrollment ID: I20240502001899 |
| Provider Name | Stephanie Franchesca Keehner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679020374 PECOS PAC ID: 2163863143 Enrollment ID: I20240508000660 |
| Provider Name | Stephanee Gomez Vera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003260092 PECOS PAC ID: 6406297340 Enrollment ID: I20240509002759 |
| Provider Name | Tiha Baker |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1467807206 PECOS PAC ID: 6103268727 Enrollment ID: I20240529001078 |
| Provider Name | Zoya Karyn Raysberg-bellman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457487761 PECOS PAC ID: 7719429919 Enrollment ID: I20240603003630 |
Chaparral Counseling, Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 Lakeshore Ave Ste C, Oakland, CA 94606 Phone: 510-971-0799 | |
La Familia Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3209 Galindo St, Oakland, CA 94601 Phone: 510-300-3170 | |
Berkeley Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Fairmount Ave, Oakland, CA 94611 Phone: 510-839-3769 Fax: 510-839-3500 | |
Lara Weyland, Ph.d., Clinical Psychology, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 Phone: 510-531-5354 Fax: 510-222-3508 | |
Lincoln Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chestnut St, Oakland, CA 94607 Phone: 510-273-4700 | |
Clear Horizons Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Grand Ave Ste 380, Oakland, CA 94610 Phone: 510-207-0392 | |
Multi-lingual Counseling Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Frank H Ogawa Plz Ste 175, Oakland, CA 94612 Phone: 510-451-0661 |