| Felton Institute | |
|
1005 Atlantic Ave Alameda CA 94501-1148 | |
| (415) 474-7310 | |
| (415) 931-0972 |
| Full Name | Felton Institute |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1005 Atlantic Ave, Alameda, California |
| Authorized Official Name and Position | Marvin Davis (CHIEF FINANCE & OPERATIONS OFFICER) |
| Authorized Official Contact | 5108448244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felton Institute 1005 Atlantic Ave Alameda CA 94501-1148 Ph: (510) 844-8244 | Felton Institute 1005 Atlantic Ave Alameda CA 94501-1148 Ph: (415) 474-7310 |
| NPI Number | 1144551581 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Medicare PECOS PAC ID | 7719025550 |
|---|---|
| Medicare Enrollment ID | O20091116000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144551581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle O Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164551545 PECOS PAC ID: 4587688304 Enrollment ID: I20060119000747 |
| Provider Name | Robert I Kurtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609819663 PECOS PAC ID: 5991727182 Enrollment ID: I20080219000290 |
| Provider Name | Ralph C Fenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659564201 PECOS PAC ID: 5991853368 Enrollment ID: I20090423000668 |
| Provider Name | Deborah A Reaghard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114132610 PECOS PAC ID: 4082765300 Enrollment ID: I20141125002377 |
| Provider Name | Gregory J Tarasoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992963961 PECOS PAC ID: 9931198819 Enrollment ID: I20150526001059 |
| Provider Name | Annie R Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083169064 PECOS PAC ID: 1355622929 Enrollment ID: I20161220001571 |
| Provider Name | Mai-chi M Tieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679974539 PECOS PAC ID: 9638443393 Enrollment ID: I20170919001119 |
| Provider Name | Meghan M Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463260 PECOS PAC ID: 6305106790 Enrollment ID: I20180202001466 |
| Provider Name | Natalie Gougeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700214038 PECOS PAC ID: 9739423534 Enrollment ID: I20181226002078 |
| Provider Name | Nishina Ann Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174933204 PECOS PAC ID: 2668714916 Enrollment ID: I20190507000827 |
| Provider Name | Monique Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669760740 PECOS PAC ID: 1254762669 Enrollment ID: I20200518002570 |
| Provider Name | Ellen Rose Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548782105 PECOS PAC ID: 4789098161 Enrollment ID: I20210126001620 |
| Provider Name | Kayla Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114672 PECOS PAC ID: 7214338375 Enrollment ID: I20210625002495 |
| Provider Name | Analuz Silva Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255745410 PECOS PAC ID: 7517349301 Enrollment ID: I20220726001765 |
| Provider Name | Vanessa Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199315 PECOS PAC ID: 9739558909 Enrollment ID: I20221209000916 |
| Provider Name | Jennifer Rae Castello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043383482 PECOS PAC ID: 5890164842 Enrollment ID: I20221213002899 |
| Provider Name | Kevin Hin Cheah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508411786 PECOS PAC ID: 8325418510 Enrollment ID: I20230104002271 |
| Provider Name | Ka Yan Ip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225701188 PECOS PAC ID: 6002287125 Enrollment ID: I20230126003181 |
| Provider Name | Brian Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194042838 PECOS PAC ID: 3173978293 Enrollment ID: I20231010002468 |
| Provider Name | Madeleine Lauren Mazzola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225676828 PECOS PAC ID: 1153771670 Enrollment ID: I20231226001714 |
| Provider Name | Sharon Mercer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801144696 PECOS PAC ID: 8527418680 Enrollment ID: I20240102002238 |
| Provider Name | Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255513172 PECOS PAC ID: 1557711645 Enrollment ID: I20240102003264 |
| Provider Name | Ryan Ashley Romero-speed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811229511 PECOS PAC ID: 9133570997 Enrollment ID: I20240105003722 |
| Provider Name | Jazzica Donida Marti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740742436 PECOS PAC ID: 4082065669 Enrollment ID: I20240108005112 |
| Provider Name | Tony Tepper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619037504 PECOS PAC ID: 7517318132 Enrollment ID: I20240109000531 |
| Provider Name | Jessica N Benway |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902239726 PECOS PAC ID: 2769833193 Enrollment ID: I20240110000222 |
| Provider Name | James Preston Christopher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235276486 PECOS PAC ID: 3577914688 Enrollment ID: I20240112001236 |
| Provider Name | Jordan Pont |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508008459 PECOS PAC ID: 1456703362 Enrollment ID: I20240116004018 |
| Provider Name | Natalia Pitcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346023488 PECOS PAC ID: 2567807993 Enrollment ID: I20240226001585 |
| Provider Name | Allyson Taylor Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841942190 PECOS PAC ID: 2567808892 Enrollment ID: I20240308003477 |
| Provider Name | Carol Win |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689024176 PECOS PAC ID: 3072950823 Enrollment ID: I20240328001575 |
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