COUNTY OF SANTA CLARA (NPI# 1710429535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710429535 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | RE-ENTRY RESOURCE CENTER - BEHAVIORAL HEALTH TEAM |
| Practice Address |
151 W Mission St Ste A1 Wing A San Jose CA 95110-1713 |
| Mailing Address |
151 W Mission St Wing A Ste A1 San Jose CA 95110-1713 |
| Practice Telephone | 4085354280 |
| Mailing Telephone | (408) 535-4280 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | TONI TULLYS (DIRECTOR) |
| Authorized Official Telephone | 4088857581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Re-Entry Resource Center - Behavioral Health Team | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1447645296 | County of Santa Clara | Clinic/Center | 777 E. Santa Clara St, Vhc At Downtown, San Jose, CA 95112 | 2015-03-30 |
| 1508269853 | County of Santa Clara | Community/Behavioral Health | 591 N King Rd Ste 1, San Jose, CA 95133-1661 | 2014-10-01 |
| 1053713958 | County of Santa Clara | Community/Behavioral Health | 2650 Senter Rd, San Jose, CA 95111-1121 | 2014-09-23 |
| 1508296526 | County of Santa Clara | Community/Behavioral Health | 850 Day Rd, Gilroy, CA 95020-9324 | 2013-11-13 |
| 1205275252 | County of Santa Clara | Community/Behavioral Health | 85 Tilton Ave, Morgan Hill, CA 95037-2504 | 2013-06-21 |
| 1316265226 | County of Santa Clara | Clinic/Center | 143 North Main Street, Milpitas, CA 95035-5302 | 2010-05-17 |
| 1083875074 | County of Santa Clara | Clinic/Center | 2221 Enborg Ln Ste 200, San Jose, CA 95128-2608 | 2008-06-23 |
| Street Address |
151 W MISSION ST STE A1 WING A |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487785549 | Marian Lamon | Rehabilitation Counselor | 151 W Mission St, San Jose, CA 95110-1713 | 2007-03-08 |
| 1235754698 | Michael Wong | Pharmacist | 151 W Mission St, San Jose, CA 95110-1713 | 2020-06-11 |
| 1831745892 | Briana Mcalister | Social Worker | 151 W Mission St, San Jose, CA 95110-1713 | 2019-08-15 |
| 1174014252 | Bruce Charles Nickles | Marriage & Family Therapist | 151 W Mission St, San Jose, CA 95110-1713 | 2018-05-23 |
| 1396248480 | Horizon Services, Incorporated | Community/Behavioral Health | 151 W Mission St, San Jose, CA 95110-1713 | 2018-03-14 |
| 1225481427 | Michael Parker | Rehabilitation Counselor | 151 W Mission St, San Jose, CA 95110-1713 | 2016-07-22 |
| 1093161689 | Ryan Forward | Peer Specialist | 151 W Mission St, Suite 100, San Jose, CA 95110-1713 | 2016-05-12 |
| 1073973582 | Reilly Johnson | Counselor | 151 W Mission St, 100, San Jose, CA 95110-1713 | 2016-02-25 |
| 1801291356 | County of Santa Clara | Community/Behavioral Health | 151 W Mission St, A1 Wing-east, San Jose, CA 95110-1713 | 2014-10-27 |
| 1932509064 | Virginia Ballantyne | Social Worker | 151 W Mission St, San Jose, CA 95110-1713 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 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 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447718838 | Alum Rock Counseling Center | Community/Behavioral Health | 234 E Gish Rd Ste 200, San Jose, CA 95112-4724 | 2019-03-05 |
| 1184189722 | Uplift Family Services | Community/Behavioral Health | 653 Sylvandale Ave, San Jose, CA 95111-1414 | 2019-02-07 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1194218149 | Catholic Charities of Santa Clara County | Community/Behavioral Health | 2150 Alum Rock Ave, San Jose, CA 95116-2054 | 2018-06-13 |
| 1306336102 | Unity Care Group, Inc. | Community/Behavioral Health | 469 Delridge Dr, San Jose, CA 95111-1703 | 2018-05-16 |
| 1295230969 | Caminar | Community/Behavioral Health | 2202 N 1st St Ste 2210, San Jose, CA 95131-2007 | 2018-03-26 |
| 1487175485 | Arise Services | Community/Behavioral Health | 1009 E Capitol Expy # 407, San Jose, CA 95121-2415 | 2017-06-29 |
| 1811438765 | Family and Children Services A Division of Caminar | Community/Behavioral Health | 109 E Gish Rd, San Jose, CA 95112-4702 | 2017-03-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1164965034 | Alum Rock Counseling Center, Inc. | Community/Behavioral Health | 1944 Flint Ave, San Jose, CA 95148-1213 | 2016-11-28 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on COUNTY OF SANTA CLARA.
| 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.