THE HEALTHY TEEN PROJECT, INC. (NPI# 1174960090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174960090 |
| Entity Type | Organization |
| Organization Name | THE HEALTHY TEEN PROJECT, INC. |
| Practice Address |
919 Fremont Ave Suite 100 Los Altos CA 94024-6024 |
| Practice Telephone | 6509412300 |
| Mailing Telephone | 6509412300 |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | DR. JENNIFER ZUMARRAGA (PSYCHIATRIST) |
| Authorized Official Telephone | 6509461972 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
A83076 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031314 | The Healthy Teen Project, Inc. | Clinic/Center | 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 | 2019-09-06 |
| Street Address |
919 FREMONT AVE SUITE 100 |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94024-6024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518987601 | Jennifer C Zumarraga | Psychiatry & Neurology | 919 Fremont Ave, Ste 100, Los Altos, CA 94024-6024 | 2006-07-20 |
| 1770017063 | Judy H Smith | Psychologist | 919 Fremont Ave, Suite 202, Los Altos, CA 94024-6024 | 2017-04-13 |
| 1801145727 | Mariela M. Costello | Psychologist | 919 Fremont Ave, Suite 202, Los Altos, CA 95020 | 2012-09-06 |
| 1720207525 | Pacfic Therx, Inc. | Specialist | 919 Fremont Ave, Suite 100, Los Altos, CA 94024-6024 | 2007-04-24 |
| 1356566400 | Ximena M. Zurita | Psychologist | 919 Fremont Ave, Suite #202, Los Altos, CA 94024-6024 | 2007-04-16 |
| 1245319425 | Barbara E Kirsch | Psychologist | 919 Fremont Ave, Suite 202, Los Altos, CA 94024-6024 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383431 | Panakos Acupuncture Clinic | Clinic/Center | 851 Fremont Ave, Suite 114, Los Altos, CA 94024 | 2015-08-06 |
| 1487030078 | Nicole Lew | Physical Therapist | 1330 Bright Oaks Ct., Los Altos, CA 94024 | 2015-08-05 |
| 1255718144 | Ciara Johnson | Physical Medicine & Rehabilitation | 1635 Candace Way, Los Altos, CA 94024 | 2015-04-30 |
| 1639479744 | Eileen R Goldman | Marriage & Family Therapist | 2551 Grant Road, Mountain View, CA 94024 | 2010-10-25 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1841478328 | Alejandro A Zaffaroni Md Inc | Ophthalmology | 762 Altos Oaks Drive, Suite 1, Los Altos, CA 94024 | 2008-02-06 |
| 1710164843 | Donald Robert Watters | Dentist | 851 Fremont Ave., Suite 101, Los Altos, CA 94024 | 2008-01-31 |
| 1508060443 | Verna Lee Stivender | Durable Medical Equipment & Medical Supplies | 1564 Miramonte Avenue, #a, Los Altos, CA 94024 | 2007-06-13 |
| 1770700627 | Deborah Amy Rovine | Psychiatry & Neurology | 1000 Fremont Ave Ste 250d, Los Altos, CA 94024 | 2007-04-20 |
| 1669503082 | Sheila Huang Humphries | Internal Medicine | 811 Altos Oaks Drive, Suite 2, Los Altos, CA 94024 | 2007-03-08 |
| Find all providers in zip 94024 | ||||
| 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] |
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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.