LIFEMOVES - AUTUMN SATELLITE CLINIC (NPI# 1366895666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366895666 |
| Entity Type | Organization |
| Organization Name | LIFEMOVES - AUTUMN SATELLITE CLINIC |
| Practice Address |
263 N Autumn St San Jose CA 95110 |
| Mailing Address |
181 Constitution Dr Menlo Park CA 94025-1106 |
| Practice Telephone | 6506855880 |
| Mailing Telephone | 6506855880 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | MR. CRAIG GARBER (CFO) |
| Authorized Official Telephone | 6506855880 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEMOVES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
263 N AUTUMN ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| 1194374827 | Little Spirits LLC | Clinic/Center | 77 N Almaden Ave, Ste #102, San Jose, CA 95110 | 2019-09-05 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851930861 | Neb Health Inc | Case Management | 453 W San Carlos St Ste 1, San Jose, CA 95110-2626 | 2019-12-23 |
| 1659830321 | Abode Services | Case Management | 2450 Senter Rd, San Jose, CA 95111-1040 | 2019-03-13 |
| 1003368994 | Path | Case Management | 290 N 2nd Street, San Jose, CA 95112-1231 | 2016-10-26 |
| 1184086910 | Gilbert Chaidez | Case Management | 275 Tradewinds Dr, San Jose, CA 95123-6003 | 2016-03-22 |
| 1902292501 | Abode Services | Case Management | 1156 N 4th St, San Jose, CA 95112-4900 | 2015-04-09 |
| 1356737951 | Abode Services | Case Management | 701 Curtner Ave, San Jose, CA 95125-2037 | 2015-04-09 |
| 1285043018 | Odd-fellow Rebekah Children's Home of Ca | Case Management | 591 N King Rd, Suite #3, San Jose, CA 95133-1661 | 2014-08-06 |
| 1942631692 | Starlight Community Services | Case Management | 6737 Bret Harte Dr, San Jose, CA 95120-2016 | 2013-12-06 |
| 1467737031 | Asian Americans for Community Involvement | Case Management | 2400 Moorpark Ave Ste 305, San Jose, CA 95128-2650 | 2011-10-14 |
| 1861722456 | Silicon Valley Independent Living Center | Case Management | 2306 Zanker Rd, San Jose, CA 95131-1115 | 2010-01-05 |
| Find all providers in SAN JOSE | ||||
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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.