MOMENTUM FOR MENTAL HEALTH (NPI# 1861702995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861702995 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH |
| Practice Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 4082617777 |
| Mailing Telephone | 4082617777 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | PAUL TAYLOR (CEO) |
| Authorized Official Telephone | 4082546828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176265 | Momentum for Mental Health | Psychologist | 2115 The Alameda, San Jose, CA 95126-1141 | 2019-10-22 |
| 1922300128 | Momentum for Mental Health | Psychologist | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2010-11-22 |
| 1538477948 | Momentum for Mental Health | Community/Behavioral Health | 2001 The Alameda, San Jose, CA 95126-1136 | 2010-09-20 |
| 1700037470 | Momentum for Mental Health | Community/Behavioral Health | 2001 The Alameda, San Jose, CA 95126-1136 | 2008-09-30 |
| 1154426807 | Momentum for Mental Health | Psychologist | 2001 The Alameda, San Jose, CA 95126-1136 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MOMENTUM FOR MENTAL HEALTH | 17971 E State Route 106, Belfair, WA 98528-8509 |
| System for Award Management (SAM) Entities | MOMENTUM FOR MENTAL HEALTH | 438 N White Rd, San Jose, CA 95127-1439 |
| Street Address |
2001 THE ALAMEDA |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406605 | Julius Howmin Fu | Psychiatry & Neurology | 2001 The Alameda, Alliance for Community Care, San Jose, CA 95126-1136 | 2006-09-14 |
| 1134727688 | Ruyi Sun | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-15 |
| 1184222101 | Richard Doug Mills | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-12 |
| 1790382679 | Kathleen Devon Grey | Marriage & Family Therapist | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-05 |
| 1083220040 | Debra Lee Wilson | Registered Nurse | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-16 |
| 1750996724 | Stephanie Mary Neutz | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-15 |
| 1710590708 | Lerissa Evans | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-28 |
| 1629680921 | Amy Christina Vaverka | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-18 |
| 1558972695 | Jeannette Elizabeth Martello | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-12 |
| 1124639570 | Jennifer Alaimo | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
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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.