Organization · Type 2 NPI

County of Santa Clara

Mental Health Clinic/Center (Including Community Mental Health Center) · San Jose, CA

NPI number 1497865976 Active

Practice location

840 Guadalupe Pkwy, Suite 238
San Jose, CA 95110-1714

Call (408) 299-3166 Map

Fax (408) 971-2651

Mailing address

828 South Bascom Avenue, Suite 200
San Jose, CA 95128

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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Other mental health clinic/center (including community mental health center) providers in San Jose

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NPI record

NPI: 1497865976
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Aug 1, 2023
Status: Active
Subpart: Yes of County of Santa Clara

Other names

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Sccmhd - Juvenile Hall Mental Health Services · doing business as
Sccmhd - Juvenile Hall Mental Health Services · doing business as

Authorized official

Dr. Nancy Dane Pena, PhD
Director
(408) 885-5782

Verify this record

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 1497865976

County of Santa Clara's National Provider Identifier is 1497865976, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Jose, CA. The record was last updated on Aug 1, 2023.