Organization · Type 2 NPI

Eastern European Service Agency

Family Psychologist · San Jose, CA

NPI number 1942211735 Active

Practice location

2400 Moorpark Ave Ste 207
San Jose, CA 95128-2624

Fax (408) 297-7354

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Family Psychologist Primary 103TF0000XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Social Worker 104100000XNone listed
Case Management Agency 251B00000XNone listed

Family Psychologist: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

About NPI 1942211735

Eastern European Service Agency's National Provider Identifier is 1942211735, issued on Aug 10, 2006. The primary taxonomy on file is Family Psychologist (103TF0000X), and the practice location is in San Jose, CA. The record was last updated on Sep 11, 2025.