Provider Demographics
NPI:1861683914
Name:JEWISH FAMILY AND CHILDREN SERVICES OF THE EAST BAY
Entity Type:Organization
Organization Name:JEWISH FAMILY AND CHILDREN SERVICES OF THE EAST BAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-704-7475
Mailing Address - Street 1:2484 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2076
Mailing Address - Country:US
Mailing Address - Phone:510-704-7475
Mailing Address - Fax:510-704-7494
Practice Address - Street 1:1855 OLYMPIC BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5007
Practice Address - Country:US
Practice Address - Phone:925-927-2000
Practice Address - Fax:925-927-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15557ZMedicare Oscar/Certification