MR. BRUCE CHARLES NICKLES


Address: 151 W Mission St, San Jose, CA 95110-1713
Phone: 4085354255

MR. BRUCE CHARLES NICKLES (NPI# 1174014252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174014252
Entity Type Individual
Full Name MR. BRUCE CHARLES NICKLES
Credential MFT
Practice Address 151 W Mission St
San Jose
CA 95110-1713
Mailing Address Po Box 110681
Campbell
CA 95011-0681
Practice Telephone 4085354255
Mailing Telephone 4085931688
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 39460 CA Behavioral Health & Social Service Providers

Office Location

Street Address 151 W MISSION ST
City SAN JOSE
State CA
Zip Code 95110-1713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487785549 Marian Lamon Rehabilitation Counselor 151 W Mission St, San Jose, CA 95110-1713 2007-03-08
1235754698 Michael Wong Pharmacist 151 W Mission St, San Jose, CA 95110-1713 2020-06-11
1831745892 Briana Mcalister Social Worker 151 W Mission St, San Jose, CA 95110-1713 2019-08-15
1396248480 Horizon Services, Incorporated Community/Behavioral Health 151 W Mission St, San Jose, CA 95110-1713 2018-03-14
1710429535 County of Santa Clara Community/Behavioral Health 151 W Mission St, Ste A1 Wing A, San Jose, CA 95110-1713 2016-11-10
1225481427 Michael Parker Rehabilitation Counselor 151 W Mission St, San Jose, CA 95110-1713 2016-07-22
1093161689 Ryan Forward Peer Specialist 151 W Mission St, Suite 100, San Jose, CA 95110-1713 2016-05-12
1073973582 Reilly Johnson Counselor 151 W Mission St, 100, San Jose, CA 95110-1713 2016-02-25
1801291356 County of Santa Clara Community/Behavioral Health 151 W Mission St, A1 Wing-east, San Jose, CA 95110-1713 2014-10-27
1932509064 Virginia Ballantyne Social Worker 151 W Mission St, San Jose, CA 95110-1713 2014-08-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876064 Clarissa Sherrill Chan Physician Assistant 685 Coleman Ave Ste 20, San Jose, CA 95110 2017-05-01
1366895666 Lifemoves - Autumn Satellite Clinic Case Management 263 N Autumn St, San Jose, CA 95110 2016-07-21
1487067278 Catholic Charities of Scc Community/Behavioral Health 921 S 1st St, San Jose, CA 95110 2014-06-09
1871855916 Act for Mental Health, Inc Psychologist 441 Park Avenue, San Jose, CA 95110 2012-06-14
1730451238 Jackson Huang Nurse Practitioner 685 Coleman Ave, San Jose, CA 95110 2012-01-31
1104000405 Kaitlyn Brownell Case Manager/Care Coordinator 150-a S. Autumn St., San Jose, CA 95110 2007-12-21
1760685218 Sharon Iwen Wang Psychologist 2033 Gateway Pl Fl 5, San Jose, CA 95110 2007-06-11
1528192036 Wanda Broadie Alexander Social Worker 441 Park Ave, San Jose, CA 95110 2007-03-15
1750442208 Mario Ricardo Ponce Counselor 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 2006-12-12
1467426882 Lannie S. Zarate-reyes D.d.s., Inc. Dentist 579-10 Coleman Avenue, San Jose, CA 95110 2006-02-14
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372377 Ratzburg Family Counseling Corporation Marriage & Family Therapist 465 Chinook Ln, San Jose, CA 95123-3311 2020-09-25
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1083230981 Joanna Leigh Carson-young Marriage & Family Therapist 1769 Park Ave Ste 220, San Jose, CA 95126-2025 2020-06-17
1144857467 Glenn M Tanimura Marriage & Family Therapist 1079 Noble Ln, San Jose, CA 95132-3128 2020-03-25
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1992339196 Brenda Ann Farrell Marriage & Family Therapist 1625 The Alameda Ste 711, San Jose, CA 95126-2225 2020-02-26
1619507472 Michelle Marie Wambach Marriage & Family Therapist 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 2020-01-21
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1497398002 Veronica Marie Ayala Marriage & Family Therapist 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 2019-10-26
1700428224 Lynn Huggins Marriage & Family Therapist 1625 The Alameda Ste 304, San Jose, CA 95126-2223 2019-10-16
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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