EMQ FAMILIES FIRST (NPI# 1104151059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104151059 |
| Entity Type | Organization |
| Organization Name | EMQ FAMILIES FIRST |
| Practice Address |
6630 Marymonte Ct San Jose CA 95120-4517 |
| Practice Telephone | 4082058996 |
| Mailing Telephone | 4082058996 |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |
| Authorized Official Name | ROBERT DEHN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4083351931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 3649 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427425461 | Emq Families First | Marriage & Family Therapist | 35274 Avenue 15, Madera, CA 93636-8437 | 2015-08-25 |
| 1720432834 | Emq Families First | Foster Care Agency | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2016-04-15 |
| 1023396439 | Emq Families First | Exclusive Provider Organization | 572 N Arrowhead Ave Ste 100, San Bernardino, CA 92401-1217 | 2011-08-02 |
| 1124343256 | Emq Families First | Marriage & Family Therapist | 232 E Gish Rd, San Jose, CA 95112-4706 | 2010-03-31 |
| Street Address |
6630 MARYMONTE CT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101540 | Kyle Addison | Residential Treatment Facility, Emotionally Disturbed Children | 6630 Marymonte Ct, San Jose, CA 95120-4517 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| Find all providers in zip 95120 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134316722 | Lindsay Marie Blackwell | Residential Treatment Facility, Emotionally Disturbed Children | 463 Wooster Ave Apt D23, San Jose, CA 95116-1096 | 2007-09-27 |
| 1700101540 | Kyle Addison | Residential Treatment Facility, Emotionally Disturbed Children | 6630 Marymonte Ct, San Jose, CA 95120-4517 | 2010-04-05 |
| 1013197052 | Debra Lee Collins | Residential Treatment Facility, Emotionally Disturbed Children | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2007-11-07 |
| 1255475497 | Jennifer Marie Crane | Residential Treatment Facility, Emotionally Disturbed Children | 455 Silicon Valley Blvd, San Jose, CA 95138-1858 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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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.