ACT FOR MENTAL HEALTH, INC


Address: 441 Park Avenue, San Jose, CA 95110
Phone: 4082872640

ACT FOR MENTAL HEALTH, INC (NPI# 1871855916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871855916
Entity Type Organization
Organization Name ACT FOR MENTAL HEALTH, INC
Practice Address 441 Park Avenue
San Jose
CA 95110
Practice Telephone 4082872640
Mailing Telephone 4082872640
Mailing Fax Number 4082877428
Enumeration Date 2012-06-14
Last Update Date 2012-06-14
Authorized Official Name MRS. WANDA B ALEXANDER (PRESIDENT)
Authorized Official Telephone 4082872640
Authorized Official Credential LCSW, #0139
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 441 PARK AVENUE
City SAN JOSE
State CA
Zip Code 95110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876064 Clarissa Sherrill Chan Physician Assistant 685 Coleman Ave Ste 20, San Jose, CA 95110 2017-05-01
1366895666 Lifemoves - Autumn Satellite Clinic Case Management 263 N Autumn St, San Jose, CA 95110 2016-07-21
1487067278 Catholic Charities of Scc Community/Behavioral Health 921 S 1st St, San Jose, CA 95110 2014-06-09
1730451238 Jackson Huang Nurse Practitioner 685 Coleman Ave, San Jose, CA 95110 2012-01-31
1104000405 Kaitlyn Brownell Case Manager/Care Coordinator 150-a S. Autumn St., San Jose, CA 95110 2007-12-21
1760685218 Sharon Iwen Wang Psychologist 2033 Gateway Pl Fl 5, San Jose, CA 95110 2007-06-11
1528192036 Wanda Broadie Alexander Social Worker 441 Park Ave, San Jose, CA 95110 2007-03-15
1750442208 Mario Ricardo Ponce Counselor 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 2006-12-12
1467426882 Lannie S. Zarate-reyes D.d.s., Inc. Dentist 579-10 Coleman Avenue, San Jose, CA 95110 2006-02-14
1194374827 Little Spirits LLC Clinic/Center 77 N Almaden Ave, Ste #102, San Jose, CA 95110 2019-09-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912507021 Lucid Lane Providers, P.C. Counselor 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 2020-10-28
1700491800 Sean Garcia Counselor 2959 Carrington Ct, San Jose, CA 95125-4882 2020-09-15
1659985240 Meng Chang Licensed Marriage and Family Therapist Counselor 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 2020-09-02
1932721115 Ellen C Gagne Counselor 290 N 2nd St Ste 202, San Jose, CA 95112-4143 2020-05-11
1215566773 Michelle L. Powers Counselor 2 N Market St Ste 500, San Jose, CA 95113-1211 2020-04-06
1841823069 Ana Gabriella Marquez Counselor 298 Bernal Rd # A, San Jose, CA 95119-1809 2020-02-17
1063044741 Alyssa N Thompson Counselor 423 Los Arboles St, San Jose, CA 95111-2344 2020-02-10
1336770288 Genevieve Altwer Counselor 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 2020-01-29
1477183705 Benjamin C Jensen Counselor 1366 Petal Way, San Jose, CA 95129-4722 2020-01-26
1659910529 Fred Finch Youth Center Counselor 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 2019-12-24
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Competitor

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City SAN JOSE
Zip Code 95110

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Dataset Information

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.

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