MOMENTUM FOR MENTAL HEALTH - MHSA FSP IMD/BAP & CJS IOP (NPI# 1659670032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659670032 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH - MHSA FSP IMD/BAP & CJS IOP |
| Other Organization Name | ALLIANCE FOR COMMUNITY CARE |
| Practice Address |
86 S 14th St San Jose CA 95112 |
| Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 4085107080 |
| Practice Fax Number | 4085107081 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | MS. MELINDA GOLDEN (CFO) |
| Authorized Official Telephone | 4082617777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| ALLIANCE for Community Care | Former Legal Business Name - Organization |
| Street Address |
86 S 14TH ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225180854 | Heiri Charles Schuppisser | Case Manager/Care Coordinator | 86 S 14th St, Alliance for Community Care Intensive Services Program, San Jose, CA 95112-2015 | 2007-01-16 |
| 1902317464 | Lobelle Magsombol Lucio | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2017-10-23 |
| 1487174835 | Kristina Elizabeth Stevens | Student in an Organized Health Care Education/Training Program | 86 S 14th St, San Jose, CA 95112-2015 | 2017-06-26 |
| 1720526601 | Stephen Gilligan Tull | Peer Specialist | 86 S 14th St, San Jose, CA 95112-2015 | 2017-02-10 |
| 1811395858 | Shelby L Weber | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2014-12-08 |
| 1255674180 | Patricia Tierney Lynch | Counselor | 86 S 14th St, San Jose, CA 95112-2015 | 2013-03-28 |
| 1285877308 | Momentum for Mental Health - Fsp Imd | Psychologist | 86 S 14th St, San Jose, CA 95112-2015 | 2009-04-20 |
| 1932370434 | Karen Deloyce Camese | Marriage & Family Therapist | 86 S 14th St, San Jose, CA 95112-2015 | 2008-03-12 |
| 1275666117 | Tricia Jordan Mlnarik | Case Manager/Care Coordinator | 86 S 14th St, Alliance for Community Care Intensive Care Services Pro, San Jose, CA 95112-2015 | 2007-03-13 |
| 1285761478 | Dan Correa | Case Manager/Care Coordinator | 86 S 14th St, San Jose, CA 95112 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| 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 |
|---|---|---|---|---|
| 1447718838 | Alum Rock Counseling Center | Community/Behavioral Health | 234 E Gish Rd Ste 200, San Jose, CA 95112-4724 | 2019-03-05 |
| 1184189722 | Uplift Family Services | Community/Behavioral Health | 653 Sylvandale Ave, San Jose, CA 95111-1414 | 2019-02-07 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1194218149 | Catholic Charities of Santa Clara County | Community/Behavioral Health | 2150 Alum Rock Ave, San Jose, CA 95116-2054 | 2018-06-13 |
| 1306336102 | Unity Care Group, Inc. | Community/Behavioral Health | 469 Delridge Dr, San Jose, CA 95111-1703 | 2018-05-16 |
| 1295230969 | Caminar | Community/Behavioral Health | 2202 N 1st St Ste 2210, San Jose, CA 95131-2007 | 2018-03-26 |
| 1487175485 | Arise Services | Community/Behavioral Health | 1009 E Capitol Expy # 407, San Jose, CA 95121-2415 | 2017-06-29 |
| 1811438765 | Family and Children Services A Division of Caminar | Community/Behavioral Health | 109 E Gish Rd, San Jose, CA 95112-4702 | 2017-03-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1164965034 | Alum Rock Counseling Center, Inc. | Community/Behavioral Health | 1944 Flint Ave, San Jose, CA 95148-1213 | 2016-11-28 |
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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.