MOMENTUM FOR MENTAL HEALTH - CR (NPI# 1215388764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215388764 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH - CR |
| Practice Address |
101 Jose Figueres Ave Ste 10 San Jose CA 95116-2022 |
| Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 4082617777 |
| Mailing Telephone | (408) 261-7777 |
| Mailing Fax Number | 4085549960 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MELINDA GOLDEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4082617777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000008369 | 05 | |
| CA | MEDICARE ID-TYPE UNSPECIFIED | ZZZ01125Z | 01 |
| Street Address |
101 JOSE FIGUERES AVE STE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896236 | Gregory P. Salerno, Ph.d., A Psychology Corporation | Psychologist | 390 Spar Ave Ste 205, San Jose, CA 95117-1644 | 2020-03-13 |
| 1548766454 | Jenifer Miri | Psychologist | 6370 Mojave Dr, San Jose, CA 95120-5310 | 2018-04-01 |
| 1417460676 | Belinda Sangrat | Psychologist | 275 Hospital Pkwy Ste 370, San Jose, CA 95119-1136 | 2017-11-09 |
| 1659818060 | Kathlyn Clementelli | Psychologist | 3212 Tenley Dr, San Jose, CA 95148-3639 | 2017-01-23 |
| 1932650223 | Lorena Ho | Psychologist | 199 Laurel Grove Ln, San Jose, CA 95126-4848 | 2016-10-20 |
| 1477906410 | Momentum for Mental Health - Crisis Stabilization | Psychologist | 101 Jose Figueres Ave Ste 50, San Jose, CA 95116-2022 | 2016-07-14 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1386046258 | Nicole Dow | Psychologist | 1417 Allegado Aly, San Jose, CA 95128-4547 | 2014-09-22 |
| 1902219850 | Rohn Taylor Stark Jr. | Psychologist | 150 Palm Valley Blvd, 3128, San Jose, CA 95123-1060 | 2014-06-09 |
| 1497182414 | Amara Brook | Psychologist | 1570 The Alameda Ste 255, San Jose, CA 95126-2305 | 2013-10-04 |
| Find all providers in SAN JOSE | ||||
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| 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.