POORTI SRIVASTAVA (NPI# 1497363501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497363501 |
| Entity Type | Individual |
| Full Name | POORTI SRIVASTAVA |
| Practice Address |
25 N 14th St Ste 400 San Jose CA 95112-6217 |
| Practice Telephone | 4085699550 |
| Mailing Telephone | 4085699550 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
25 N 14TH ST STE 400 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828535 | Alex Walter Ralli | Counselor | 25 N 14th St Ste 400, San Jose, CA 95112 | 2017-08-24 |
| 1831708973 | Sofia Alena Jeanpierre | Case Manager/Care Coordinator | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2020-07-24 |
| 1639721491 | Andrew John Navarro | Case Manager/Care Coordinator | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2019-07-11 |
| 1871154328 | Roziland Ulondra Blue | Social Worker | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2019-06-25 |
| 1245792514 | Tu Vuong | Case Manager/Care Coordinator | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2019-04-04 |
| 1700355120 | Roel Villamayor | Specialist | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2018-11-14 |
| 1508343989 | Thomas Herena | Case Manager/Care Coordinator | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2018-07-27 |
| 1992211817 | Abode Services | Community/Behavioral Health | 25 N 14th St Ste 400, San Jose, CA 95112-6217 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| 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.