COUNTY OF SANTA CLARA (NPI# 1265558324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265558324 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | SCCMHD - KIDSCOPE |
| Practice Address |
828 S Bascom Ave Suite 100 and 120 San Jose CA 95128-2651 |
| Mailing Address |
828 S Bascom Ave Suite 200 San Jose CA 95128-2651 |
| Practice Telephone | 4087935959 |
| Mailing Telephone | 4088855770 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | DR. NANCY DANE PENA (DIRECTOR) |
| Authorized Official Telephone | 4088855782 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CLARA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SDMH PROVIDER NUMBER | 43AP | 01 |
| Other Name | Type Code |
|---|---|
| SCCMHD - KidScope | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1447645296 | County of Santa Clara | Clinic/Center | 777 E. Santa Clara St, Vhc At Downtown, San Jose, CA 95112 | 2015-03-30 |
| 1508269853 | County of Santa Clara | Community/Behavioral Health | 591 N King Rd Ste 1, San Jose, CA 95133-1661 | 2014-10-01 |
| 1053713958 | County of Santa Clara | Community/Behavioral Health | 2650 Senter Rd, San Jose, CA 95111-1121 | 2014-09-23 |
| 1508296526 | County of Santa Clara | Community/Behavioral Health | 850 Day Rd, Gilroy, CA 95020-9324 | 2013-11-13 |
| 1205275252 | County of Santa Clara | Community/Behavioral Health | 85 Tilton Ave, Morgan Hill, CA 95037-2504 | 2013-06-21 |
| 1316265226 | County of Santa Clara | Clinic/Center | 143 North Main Street, Milpitas, CA 95035-5302 | 2010-05-17 |
| 1083875074 | County of Santa Clara | Clinic/Center | 2221 Enborg Ln Ste 200, San Jose, CA 95128-2608 | 2008-06-23 |
| Street Address |
828 S BASCOM AVE SUITE 100 AND 120 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902875842 | Richard Benson Coolman | Pediatrics | 828 S Bascom Ave, Center for Learning and Achiement, San Jose, CA 95128-2651 | 2006-03-14 |
| 1629685771 | Reyna Marie Manzo | Counselor | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2020-09-23 |
| 1467982702 | Tina Nguyen | Occupational Therapist | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2017-06-19 |
| 1528437290 | Stephanie Tran | Speech-Language Pathologist | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2015-09-23 |
| 1720455108 | Rosalilia Mendoza | Social Worker | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2015-09-01 |
| 1306255203 | Melissa Lenon | Marriage & Family Therapist | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2014-08-05 |
| 1316379050 | Melissa Preader | Social Worker | 828 S Bascom Ave, Suite 200, San Jose, CA 95128-2651 | 2013-08-05 |
| 1275974768 | Kwok Hin Alex Yuen | Social Worker | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2013-07-11 |
| 1669750998 | Nadia Takla | Marriage & Family Therapist | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2011-08-04 |
| 1427362714 | Kenneth Edward Allen | Psychologist | 828 S Bascom Ave, San Jose, CA 95128-2651 | 2010-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906802 | Healthright 360 | Clinic/Center | 1970 Morrill Ave, San Jose, CA 95132-1637 | 2007-08-06 |
| 1194374827 | Little Spirits LLC | Clinic/Center | 77 N Almaden Ave, Ste #102, San Jose, CA 95110 | 2019-09-05 |
| 1639543960 | Jayne Marsh Lmft | Clinic/Center | 3880 S Bascom Ave, Suite 216, San Jose, CA 95124-2674 | 2015-11-24 |
| 1528337300 | Alum Rock Counseling Center | Clinic/Center | 1245 E Santa Clara St, San Jose, CA 95116-2337 | 2011-12-22 |
| 1326341850 | Rylist, Inc. | Clinic/Center | 1101 S Winchester Blvd, Suite # N 265, San Jose, CA 95128-3901 | 2010-12-06 |
| 1437306594 | Healthright 360 | Clinic/Center | 1340 Tully Rd, Suite 301, San Jose, CA 95122-3055 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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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.