SOUTH BAY FAMILY THERAPY, INC. (NPI# 1821649278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821649278 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY FAMILY THERAPY, INC. |
| Practice Address |
17705 Hale Ave Ste F4 Morgan Hill CA 95037-4349 |
| Practice Telephone | 4086596887 |
| Practice Fax Number | 4087761901 |
| Mailing Telephone | 4086596887 |
| Mailing Fax Number | 4087761901 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | ELEANOR SCOTT (PRESIDENT) |
| Authorized Official Telephone | 4086596887 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Bay Therapy Center | Doing Business As Name - Organization |
| Street Address |
17705 HALE AVE STE F4 |
| City | MORGAN HILL |
| State | CA |
| Zip Code | 95037-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851583405 | Jessica Angelic Bullwinkle | Marriage & Family Therapist | 17705 Hale Ave Ste F4, Morgan Hill, CA 95037-4349 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| 1346715646 | Nicholas Egger Licensed Clinical Social Worker Inc. | Social Worker | 17760 Monterey St Ste A5, Morgan Hill, CA 95037 | 2018-10-12 |
| 1871011148 | Lisa Jane Call | Marriage & Family Therapist | 16275 Monterey Road, Suite C, Morgan Hill, CA 95037 | 2017-09-06 |
| 1255873725 | Duy Nguyen | Technician/Technologist | 15700 Monterey Rd Ste 100, Morgan Hill, CA 95037 | 2016-11-15 |
| 1265986590 | Carmen Wah | Pharmacist | 100 Tennant Ave, Morgan Hill, CA 95037 | 2016-08-03 |
| 1609241314 | Shyh-shiaw Kuo | Marriage & Family Therapist | 16275 Monterey Road Suite C, Morgan Hill, CA 95037 | 2015-12-07 |
| 1780054353 | Oscar Fernandez | Case Manager/Care Coordinator | 19300 Quinn Ct, Morgan Hill, CA 95037 | 2015-09-25 |
| 1194114272 | Krystle Teneyuque | Counselor | 18217 Hale Avenue, Morgan Hill, CA 95037 | 2015-01-13 |
| 1720486715 | Vila Monte | Assisted Living Facility | 17090 Peak Ave, Morgan Hill, CA 95037 | 2014-12-08 |
| 1689083081 | Bridget Leblanc | Pharmacist | 100 Tennant Ave., Morgan Hill, CA 95037 | 2014-08-11 |
| Find all providers in zip 95037 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023586716 | Mind Oasis Psychiatry, A Professional Nursing Corporation | Clinic/Center | 60 W Main Ave Ste 11a, Morgan Hill, CA 95037-4553 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN HILL |
| Zip Code | 95037 |
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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.