STARLIGHT ADOLESCENT CENTER


Address: 5824 Chris Dr, San Jose, CA 95123-3501
Phone: 4082244458

STARLIGHT ADOLESCENT CENTER (NPI# 1396913349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396913349
Entity Type Organization
Organization Name STARLIGHT ADOLESCENT CENTER
Practice Address 5824 Chris Dr
San Jose
CA 95123-3501
Practice Telephone 4082244458
Practice Fax Number 4082244458
Mailing Telephone 4082244458
Mailing Fax Number 4082244458
Enumeration Date 2008-02-12
Last Update Date 2008-02-12
Authorized Official Name ABU TORAB ZAKIR (LICENSED VOCATIONAL NURSE)
Authorized Official Telephone 4082244458
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital VN 231676 CA Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306938402 Starlight Adolescent Center Community/Behavioral Health 455 Silicon Valley Blvd, San Jose, CA 95138-1858 2006-09-28

Office Location

Street Address 5824 CHRIS DR
City SAN JOSE
State CA
Zip Code 95123-3501

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1902335300 Alfredo Fernandez Counselor 5898 Paddon Circle, San Jose, CA 95123 2017-06-08
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417316498 Down Town Mental Health Psychiatric Hospital 1075 E Santa Clara St, San Jose, CA 95116-2244 2016-02-18
1508252149 Sjbh, LLC Psychiatric Hospital 455 Silicon Valley Blvd, San Jose, CA 95138-1858 2015-04-10
1598065047 Crestwood Behavioral Health, Inc. Psychiatric Hospital 1425 Fruitdale Ave, San Jose, CA 95128-3234 2010-11-01
1467699702 Valley Medical Center Psychiatric Hospital 871 Enborg Ct, Ste. 100, San Jose, CA 95128-2645 2009-01-08
1184889859 Samina Khan Ix Psychiatric Hospital 751 S Bascom Ave, Suite 7c065, San Jose, CA 95128-2604 2008-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740892017 Avamed Inc. Psychiatric Hospital 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 2020-08-18
1437769957 North Valley Behavioral Health, LLC Psychiatric Hospital 1253 Stabler Lane, Yuba City, CA 95993 2020-08-10
1811549504 Sacramento Behavioral Healthcare Hospital, LLC Psychiatric Hospital 1400 Expo Pkwy, Sacramento, CA 95815-4230 2019-07-12
1932603990 Central Star Behavioral Health, Inc. Psychiatric Hospital 496 South Barton Ave, Fresno, CA 93750-0001 2018-03-22
1639601933 Restpadd Health Corp Psychiatric Hospital 925 Walnut St, Red Bluff, CA 96080-3707 2017-03-28
1790223790 Adrian Zamora Psychiatric Hospital 1569 Michael Place, Porterville, CA 93257 2017-02-09
1558812404 Sonnia A. Ahinasi Psychiatric Hospital 4192 Via Napoli, Montclair, CA 91763-4750 2016-10-16
1316399660 Itzel Lopez Psychiatric Hospital 1869 Lombard St, San Francisco, CA 94123-2909 2016-07-11
1770931032 Ruby Lorraine Summus Psychiatric Hospital 4111 Jonathon St, Oceanside, CA 92056-4217 2016-05-27
1760841126 County of Los Angeles Psychiatric Hospital 5800 South St Apt 163, Lakewood, CA 90713-1331 2016-02-15
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Competitor

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City SAN JOSE
Zip Code 95123

Improve Information

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Dataset Information

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.

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