LOS GATOS THERAPY CENTER (NPI# 1053821355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053821355 |
| Entity Type | Organization |
| Organization Name | LOS GATOS THERAPY CENTER |
| Practice Address |
2542 S Bascom Ave Ste 110 Campbell CA 95008-5541 |
| Practice Telephone | (408) 559-3403 |
| Practice Fax Number | 4085593158 |
| Mailing Telephone | 4085593403 |
| Mailing Fax Number | 4085593158 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | EUGENE TILMAN (MANAGER) |
| Authorized Official Telephone | 4085593403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
2542 S BASCOM AVE STE 110 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-5541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285896431 | Jane M Bassatt-winchell | Social Worker | 2542 S Bascom Ave Ste 110, Campbell, CA 95008-5541 | 2008-06-30 |
| 1790284115 | Laura Reinitz | Social Worker | 2542 S Bascom Ave Ste 110, Campbell, CA 95008-5541 | 2018-02-12 |
| 1013271600 | Rajan Gosain | Psychiatry & Neurology | 2542 S Bascom Ave Ste 110, Campbell, CA 95008-5541 | 2012-06-27 |
| 1407180409 | Sara Fryer Miller | Counselor | 2542 S Bascom Ave Ste 110, Campbell, CA 95008 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283162 | Satya Wellness | Clinic/Center | 2542 S Bascom Ave Ste 100, Campbell, CA 95008-5541 | 2020-04-13 |
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| 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.