CAMPBELL TEEN & FAMILY THERAPY (NPI# 1285279869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285279869 |
| Entity Type | Organization |
| Organization Name | CAMPBELL TEEN & FAMILY THERAPY |
| Practice Address |
441 N Central Ave Ste 6 Campbell CA 95008-1428 |
| Practice Telephone | 4085799806 |
| Mailing Telephone | 4085799806 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | INGRID T HIGGINS (OWNER) |
| Authorized Official Telephone | 4085799806 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1508080953 | 01 |
| Street Address |
441 N CENTRAL AVE STE 6 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811010978 | Stephanie Michelle Chase | Marriage & Family Therapist | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2007-04-06 |
| 1487283115 | Jaclyn Warren | Marriage & Family Therapist | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2020-04-04 |
| 1588203731 | Martha Patricia Perez-quintanilla | Marriage & Family Therapist | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2020-01-04 |
| 1982104394 | Sharmaine Glover Cardenas | Social Worker | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2018-02-13 |
| 1043602345 | John Peter Souchak | Marriage & Family Therapist | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| 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 |
|---|---|---|---|---|
| 1902454226 | Seneca Family of Agencies | Community/Behavioral Health | 401 W Hamilton Ave, Campbell, CA 95008-0509 | 2019-08-29 |
| 1306301890 | Uplift Family Services | Community/Behavioral Health | 850 Chapman Dr, Campbell, CA 95008-6807 | 2019-02-08 |
| 1417310012 | Uplift Family Services | Community/Behavioral Health | 295 Cherry Ln, Campbell, CA 95008-3417 | 2016-03-31 |
| 1609239201 | Uplift Family Services | Community/Behavioral Health | 3040 Payne Ave, Campbell, CA 95008-0136 | 2016-03-31 |
| 1841611217 | The Village Network Inc | Community/Behavioral Health | 150 Fairdale Ave, Campbell, OH 44405-1075 | 2014-01-02 |
| 1700125937 | Emq Familiesfirst Soc | Community/Behavioral Health | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2013-02-07 |
| 1962750505 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 621 E Campbell Ave, Suite 17, Campbell, CA 95008-2139 | 2012-08-28 |
| 1184925448 | Ladonna Ltd | Community/Behavioral Health | 900 E Hamilton Ave, Suite 100, Campbell, CA 95008-0664 | 2010-11-03 |
| 1073774170 | Judy De Leon | Community/Behavioral Health | 3425 S Bascom Ave, Suite F, Campbell, CA 95008-7300 | 2008-06-20 |
| 1992986137 | Emq Children and Family Services | Community/Behavioral Health | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2007-11-15 |
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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.