Organization · Type 2 NPI

County of Santa Clara

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

NPI number 1679683064 Active

Practice location

1075 East Santa Clara Street
San Jose, CA 95116

Call (408) 299-6175 Map

Fax (408) 298-0192

Mailing address

828 S Bascom Ave Ste 200
San Jose, CA 95128-2600

Specialties and licenses

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

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NPI record

NPI: 1679683064
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Nov 21, 2024
Status: Active
Subpart: Yes of County of Santa Clara

Other names

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Downtown Mental Health Center MH Aoa · doing business as

Authorized official

Sherri Terao
Dir, Behavioral Health SVCS
(408) 885-5776

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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 1679683064

County of Santa Clara's National Provider Identifier is 1679683064, 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 Nov 21, 2024.