MOMENTUM FOR MENTAL HEALTH - CA AVE. (NPI# 1467677237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467677237 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH - CA AVE. |
| Practice Address |
206 S California Ave Palo Alto CA 94306-1618 |
| Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 6506178340 |
| Practice Fax Number | 6503215468 |
| Mailing Telephone | 4082617777 |
| Mailing Fax Number | 4085549960 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | JOHN S. SMELSER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4082617777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000008333 | 05 |
| Street Address |
206 S CALIFORNIA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316092422 | Danielle Carolyn Stagner | Case Manager/Care Coordinator | 206 S California Ave, Momentum for Mental Health Service Team Adult Califor, Palo Alto, CA 94306-1618 | 2007-01-25 |
| 1164894663 | Ana Maribel Valle-hernandez | Marriage & Family Therapist | 206 S California Ave, Palo Alto, CA 94306-1618 | 2015-10-22 |
| 1649695057 | Ruthie Maryanne Ayzenberg | Marriage & Family Therapist | 206 S California Ave, Palo Alto, CA 94306-1618 | 2014-02-20 |
| 1093138463 | James Norwood | Counselor | 206 S California Ave, Palo Alto, CA 94306-1618 | 2014-01-21 |
| 1417390220 | Jennifer Denise Jones | Social Worker | 206 S California Ave, Palo Alto, CA 94306-1618 | 2013-04-10 |
| 1033349600 | Martha Zambrano | Marriage & Family Therapist | 206 S California Ave, Palo Alto, CA 94306-1618 | 2009-07-17 |
| 1285804831 | Louise May Compton | Counselor | 206 S California Ave, Palo Alto, CA 94306-1618 | 2008-03-10 |
| 1386838258 | Leena Pullinen | Marriage & Family Therapist | 206 S California Ave, Palo Alto, CA 94306-1618 | 2007-09-04 |
| 1568674299 | Momentum for Mental Health - Discovery Center | Psychologist | 206 S California Ave, Palo Alto, CA 94306-1618 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555745 | Patricia L. Frumkin, Ph.d., Mph | Psychologist | 739 La Para Ave, Palo Alto, CA 94306-3158 | 2020-03-30 |
| 1427612720 | Barbara Jean Morrill | Psychologist | 220 California Ave Ste 120, Palo Alto, CA 94306-1627 | 2019-04-23 |
| 1922561489 | Edward Stryker Duggan | Psychologist | 624 University Ave Ste 201, Palo Alto, CA 94301-2019 | 2019-04-11 |
| 1487137113 | Katherine Sutton | Psychologist | 825 San Antonio Rd Ste 104, Palo Alto, CA 94303-4620 | 2018-09-09 |
| 1255818621 | Anthony M Lombardi | Psychologist | 401 Quarry Rd Rm 1304, Palo Alto, CA 94304-1419 | 2018-07-27 |
| 1932605680 | Liang Liao | Psychologist | 440 Sherman Ave Ste 104, Palo Alto, CA 94306-1868 | 2018-04-02 |
| 1255859625 | Hsiao-jung Iris Lin | Psychologist | 560 Oxford Ave Ste 6a, Palo Alto, CA 94306-1139 | 2017-09-06 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1437606944 | Rebecca A Bernert | Psychologist | 401 Quarry Road Mc 5797, Department of Psychiatry, Stanford University, Rm 3311, Palo Alto, CA 94304-5797 | 2016-09-01 |
| 1578915831 | Chi Huang | Psychologist | 555 Bryant St # 711, Palo Alto, CA 94301-1704 | 2016-07-11 |
| Find all providers in PALO ALTO | ||||
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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.