NPI Code Details Logo

NPI 1205746682

NPI 1205746682 : LINCOLN FAMILY SERVICES : OAKLAND, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205746682
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LINCOLN FAMILY SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/09/2026
-----------------------------------------------------
    Last Update Date     |    09/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    150 LINDEN ST 
-----------------------------------------------------
    City                 |    OAKLAND
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94607-2538
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-336-0338
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    647 PARK HILL RD 
-----------------------------------------------------
    City                 |    DANVILLE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94526-3615
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-336-0338
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PSYCHOLOGIST
-----------------------------------------------------
    Name                 |    MR. KIAN JOSHUA CHANOWITZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    925-336-0338
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.