| South County Crisis | |
|
409 Jackson St Ste 100 Hayward CA 94544-1530 | |
| (510) 383-5103 | |
| Not Available |
| Full Name | South County Crisis |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 409 Jackson St Ste 100, Hayward, California |
| Authorized Official Name and Position | Karyn L Tribble (DIRECTOR) |
| Authorized Official Contact | 5105678100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Crisis Po Box 129 San Leandro CA 94577-0929 Ph: () - | South County Crisis 409 Jackson St Ste 100 Hayward CA 94544-1530 Ph: (510) 383-5103 |
| NPI Number | 1780716381 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 9739070624 |
|---|---|
| Medicare Enrollment ID | O20040323001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780716381 | NPI | - | NPPES |
| 0000001AY | Medicaid | CA |
| 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 | Laura M Duskin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881643310 PECOS PAC ID: 5496737140 Enrollment ID: I20040604000991 |
| Provider Name | Giridhar G Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124166012 PECOS PAC ID: 8426025347 Enrollment ID: I20040910001155 |
| Provider Name | Nancy N Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659483071 PECOS PAC ID: 3375596711 Enrollment ID: I20050225000570 |
| Provider Name | Nia T Lozano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851590996 PECOS PAC ID: 3870538002 Enrollment ID: I20050628000219 |
| Provider Name | Gloria Maria Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275603938 PECOS PAC ID: 3072537737 Enrollment ID: I20060120000291 |
| Provider Name | Alan J Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538139860 PECOS PAC ID: 1153330428 Enrollment ID: I20060413000595 |
| Provider Name | Karen J Yun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609803923 PECOS PAC ID: 7012090012 Enrollment ID: I20080214000211 |
| Provider Name | Yanni Chun Rho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053425959 PECOS PAC ID: 4486642386 Enrollment ID: I20081106000905 |
| Provider Name | Luisito M Roxas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295713386 PECOS PAC ID: 3779644547 Enrollment ID: I20081211000597 |
| Provider Name | David B Schatz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801082375 PECOS PAC ID: 9335281112 Enrollment ID: I20100115000638 |
| Provider Name | Sadaya Zimmerle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003025693 PECOS PAC ID: 6800089574 Enrollment ID: I20101026001102 |
| Provider Name | Viju V Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063602282 PECOS PAC ID: 0749477206 Enrollment ID: I20101209000454 |
| Provider Name | Susannah D Mackaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356533236 PECOS PAC ID: 0547458614 Enrollment ID: I20101216000688 |
| Provider Name | Paul T Del Bel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144430075 PECOS PAC ID: 7012104920 Enrollment ID: I20101230000975 |
| Provider Name | Mohammad I Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003009077 PECOS PAC ID: 8527247709 Enrollment ID: I20110119001276 |
| Provider Name | Sandra Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821207168 PECOS PAC ID: 1052593639 Enrollment ID: I20110303000800 |
| Provider Name | Samuel A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043469844 PECOS PAC ID: 7214183888 Enrollment ID: I20120814000477 |
| Provider Name | Janice Beverly Cahambing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356699912 PECOS PAC ID: 3476706359 Enrollment ID: I20121228000132 |
| Provider Name | Tiffany Sarrach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730382169 PECOS PAC ID: 9335370717 Enrollment ID: I20140327002234 |
| Provider Name | Colleen Timpane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861811812 PECOS PAC ID: 9335365287 Enrollment ID: I20140729002399 |
| Provider Name | Michelle D Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225249501 PECOS PAC ID: 1355667551 Enrollment ID: I20150306000073 |
| Provider Name | Timothy Jack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891949723 PECOS PAC ID: 1658691027 Enrollment ID: I20150527000002 |
| Provider Name | Lilian Lustman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720275100 PECOS PAC ID: 7113237009 Enrollment ID: I20151104003147 |
| Provider Name | Kenya S Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063613156 PECOS PAC ID: 4183934938 Enrollment ID: I20151105002621 |
| Provider Name | Jerry Ngo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629369806 PECOS PAC ID: 5991001596 Enrollment ID: I20160308001652 |
| Provider Name | Nandita Hegde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497199939 PECOS PAC ID: 8224335161 Enrollment ID: I20160321001793 |
| Provider Name | Ebele O Mbeledogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689071169 PECOS PAC ID: 5597054585 Enrollment ID: I20160513001837 |
| Provider Name | Ayesha Siddiqua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831453794 PECOS PAC ID: 7214177559 Enrollment ID: I20161115002295 |
| Provider Name | Karen Hamadanyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417237736 PECOS PAC ID: 4981976347 Enrollment ID: I20170818002049 |
| Provider Name | Chien Shien Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780025692 PECOS PAC ID: 3375774995 Enrollment ID: I20170928001907 |
| Provider Name | Lovely Lady Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184959868 PECOS PAC ID: 5991063216 Enrollment ID: I20171214001699 |
| Provider Name | Chastity Audrey Piedade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285134460 PECOS PAC ID: 3476818360 Enrollment ID: I20180523003074 |
| Provider Name | Sheeba Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023285848 PECOS PAC ID: 7214183680 Enrollment ID: I20190313002125 |
| Provider Name | Tracie B Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20190430002104 |
| Provider Name | Denise M Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386087237 PECOS PAC ID: 9830432343 Enrollment ID: I20190527000000 |
| Provider Name | Donna Renee Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083815682 PECOS PAC ID: 5991035230 Enrollment ID: I20190930000320 |
| Provider Name | Dennis Arthur O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043250079 PECOS PAC ID: 9537124177 Enrollment ID: I20200206002195 |
| Provider Name | Colette Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137749 PECOS PAC ID: 2264854587 Enrollment ID: I20200615002387 |
| Provider Name | Anneka Citrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174857775 PECOS PAC ID: 1557780384 Enrollment ID: I20200929001092 |
| Provider Name | Jessica Lee Osmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679822910 PECOS PAC ID: 1850708439 Enrollment ID: I20210326000830 |
| Provider Name | Atef Shaikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578908604 PECOS PAC ID: 9234419862 Enrollment ID: I20210407003185 |
| Provider Name | Kawal Preet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952950149 PECOS PAC ID: 6204236318 Enrollment ID: I20210610003236 |
| Provider Name | Angela Coombs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275910374 PECOS PAC ID: 7719224211 Enrollment ID: I20211014001063 |
| Provider Name | Michael T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356958557 PECOS PAC ID: 4981093796 Enrollment ID: I20211117001766 |
| Provider Name | Vicente Mauricio Gonzaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437442555 PECOS PAC ID: 5799929543 Enrollment ID: I20220421000214 |
| Provider Name | Linda L Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104370261 PECOS PAC ID: 1153708169 Enrollment ID: I20220512002552 |
| Provider Name | Jeremy Lightell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013154970 PECOS PAC ID: 4789062977 Enrollment ID: I20220531001117 |
| Provider Name | Dana J Mcgaffee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770631145 PECOS PAC ID: 6901995786 Enrollment ID: I20220822001818 |
| Provider Name | Corlette Vanessa Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457704777 PECOS PAC ID: 7214309707 Enrollment ID: I20230209001743 |
| Provider Name | Gimone Olonza Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912217654 PECOS PAC ID: 9638533300 Enrollment ID: I20230913002999 |
Southern Alameda County Comite For Raza Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22366 Fuller Ave, Hayward, CA 94541 Phone: 510-300-3516 Fax: 510-291-9591 | |
Kidango Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23640 Reed Way, Hayward, CA 94541 Phone: 408-315-7678 | |
Hedco House Creative Living Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 B St, Hayward, CA 94541 Phone: 510-613-0330 | |
Fred Finch Youth Center, Brenkwitz Continuation School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22100 Princeton St, Hayward, CA 94541 Phone: 510-293-8330 | |
East Bay Agency For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Blanche St, Hayward, CA 94544 Phone: 510-227-9710 | |
Pathways To Wellness Medication Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 B St, Hayward, CA 94541 Phone: 925-520-0005 Fax: 925-520-0010 | |
The Alliance For Community Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24301 Southland Dr Ste 200a, Hayward, CA 94545 Phone: 510-300-3516 |