TEEN THERAPY CENTER, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORKER CO (NPI# 1255886776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255886776 |
| Entity Type | Organization |
| Organization Name | TEEN THERAPY CENTER, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORKER CO |
| Other Organization Name | TEEN THERAPY CENTER |
| Practice Address |
246 Union Ave Los Gatos CA 95032-3903 |
| Practice Telephone | 4083893538 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | LINDSAY SMITH (OWNER) |
| Authorized Official Telephone | 4083893538 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Teen Therapy Center | Doing Business As Name - Organization |
| Street Address |
246 UNION AVE |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164602207 | Joy Frimmel | Marriage & Family Therapist | 246 Union Ave, Los Gatos, CA 95032-3903 | 2007-11-06 |
| 1033577242 | Ning-qi Ann Yu | Marriage & Family Therapist | 246 Union Ave, Los Gatos, CA 95032-3903 | 2016-02-02 |
| 1750784666 | Athena Torres | Marriage & Family Therapist | 246 Union Ave, Los Gatos, CA 95032-3903 | 2014-10-06 |
| 1992085344 | Channing Elizabeth Herrera | Counselor | 246 Union Ave, Los Gatos, CA 95032-3903 | 2011-08-17 |
| 1043514235 | Aimee Anne Weiher | Marriage & Family Therapist | 246 Union Ave, Los Gatos, CA 95032-3903 | 2011-01-02 |
| 1144499419 | Nolan Larry Johnson | Counselor | 246 Union Ave, Los Gatos, CA 95032-3903 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972390 | El Camino Hospital | Community/Behavioral Health | 825 Pollard Rd Ste 201, Los Gatos, CA 95032-1435 | 2018-08-15 |
| 1629234760 | Emq | Community/Behavioral Health | 499 Loma Avenue, Los Gatos, CA 95030 | 2008-07-29 |
| 1437601374 | Family Therapy Center, A Professional Licensed Clinical Social Worker | Community/Behavioral Health | 14651 S Bascom Ave, Suite 225, Los Gatos, CA 95032-2014 | 2016-10-26 |
| 1477748630 | Uplift Family Services | Community/Behavioral Health | 499 Loma Alta Ave, Los Gatos, CA 95030-6227 | 2007-09-11 |
| 1326102484 | Uplift Family Services | Community/Behavioral Health | 499 Loma Alta Ave, Los Gatos, CA 95030-6227 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.