Organization · Type 2 NPI

Kaiser Foundation Hospitals

Psychiatric Hospital · Santa Clara, CA

NPI number 1356663488 Active

Practice location

3840 Homestead Road
Santa Clara, CA 95051

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	None listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Another provider at this address

Jon Michael Faxon, LCSWProfessional Counselor Santa Clara, CA NPI 1023131869

NPI record

NPI: 1356663488
Entity type: Organization (Type 2)
Issued: Feb 16, 2010
Last updated: Apr 26, 2021
Status: Active

Other names

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Kaiser Permanente Psychiatric Health Facility - Santa Clara · doing business as
Kaiser Permanente Psychiatric Health Facility - Santa Clara · doing business as

Authorized official

Christopher L Boyd
Senior VP/area Manager
(408) 851-4120

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356663488

Kaiser Foundation Hospitals's National Provider Identifier is 1356663488, issued on Feb 16, 2010. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Santa Clara, CA. The record was last updated on Apr 26, 2021.