| East Bay Community Recovery Project | |
|
22971 Sutro St Hayward CA 94541-6514 | |
| (510) 728-8600 | |
| (510) 728-8605 |
| Full Name | East Bay Community Recovery Project |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 22971 Sutro St, Hayward, California |
| Authorized Official Name and Position | Marta Rose (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5104467111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Community Recovery Project 2579 San Pablo Ave Oakland CA 94612-1159 Ph: (510) 446-7100 | East Bay Community Recovery Project 22971 Sutro St Hayward CA 94541-6514 Ph: (510) 728-8600 |
| NPI Number | 1245417658 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 10/19/2015 |
| Medicare PECOS PAC ID | 9133176829 |
|---|---|
| Medicare Enrollment ID | O20050405000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Herbert G Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588682207 PECOS PAC ID: 4385546258 Enrollment ID: I20040121001187 |
| Provider Name | David B Schatz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801082375 PECOS PAC ID: 9335281112 Enrollment ID: I20100115000638 |
| Provider Name | Richard R Cicinelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902026305 PECOS PAC ID: 5294903472 Enrollment ID: I20110713000562 |
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