MOMENTUM FOR MENTAL HEALTH - EASTSIDE SERVICE TEAM (NPI# 1508083205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508083205 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH - EASTSIDE SERVICE TEAM |
| Other Organization Name | ALLIANCE FOR COMMUNITY CARE |
| Practice Address |
438 N White Rd San Jose CA 95127-1439 |
| Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 4082546828 |
| Practice Fax Number | 4082546838 |
| Mailing Telephone | 4082617777 |
| Mailing Fax Number | 4085549960 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MELINDA GOLDEN (CFO) |
| 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 |
| Other Name | Type Code |
|---|---|
| ALLIANCE for Community Care | Former Legal Business Name - Organization |
| Street Address |
438 N WHITE RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225122138 | Barry Michael Gaines | Psychiatry & Neurology | 438 N White Rd, Alliance for Community Care Service Team Adult Outpatie, San Jose, CA 95127-1439 | 2006-10-03 |
| 1528680469 | Bay Area Community Health | Clinic/Center | 438 N White Rd, San Jose, CA 95127-1439 | 2020-05-14 |
| 1174164412 | Joella Marie Bernard | Registered Nurse | 438 N White Rd, San Jose, CA 95127-1439 | 2019-10-07 |
| 1164076261 | Chelsea Andrea Barabtarlo II | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2019-07-26 |
| 1093284697 | Urau Lino | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2018-11-13 |
| 1972005759 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 438 N White Rd, San Jose, CA 95127-1439 | 2018-03-07 |
| 1811401995 | Diana Nguyen | Case Manager/Care Coordinator | 438 N White Rd, San Jose, CA 95127-1439 | 2017-11-28 |
| 1093225351 | Shaunnetta Branham | Counselor | 438 N White Rd, San Jose, CA 95127-1439 | 2017-10-01 |
| 1285143446 | Tarhonda T Thornabar | Counselor | 438 N White Rd, San Jose, CA 95127-1439 | 2017-09-20 |
| 1124560693 | Ariana Ayala | Social Worker | 438 N White Rd, San Jose, CA 95127-1439 | 2016-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
| 1215388764 | Momentum for Mental Health - Cr | Psychologist | 101 Jose Figueres Ave Ste 10, San Jose, CA 95116-2022 | 2016-06-27 |
| 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 |
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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.