MOMENTUM FOR MENTAL HEALTH (NPI# 1922300128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922300128 |
| Entity Type | Organization |
| Organization Name | MOMENTUM FOR MENTAL HEALTH |
| Other Organization Name | R.E.A.C.H. |
| Practice Address |
185 Martinvale Ln San Jose CA 95119-1319 |
| Mailing Address |
2001 The Alameda San Jose CA 95126-1136 |
| Practice Telephone | 4082070070 |
| Practice Fax Number | 4082070075 |
| Mailing Telephone | 4082617135 |
| Mailing Fax Number | 4082618299 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MS. MELINDA GOLDEN (CFO) |
| 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 |
| Other Name | Type Code |
|---|---|
| R.E.A.C.H. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176265 | Momentum for Mental Health | Psychologist | 2115 The Alameda, San Jose, CA 95126-1141 | 2019-10-22 |
| 1861702995 | Momentum for Mental Health | Community/Behavioral Health | 2001 The Alameda, San Jose, CA 95126-1136 | 2010-10-07 |
| 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 |
185 MARTINVALE LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265557409 | Cynthia C. Alvarado | Social Worker | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2007-03-20 |
| 1538702865 | Charles Tran | Case Manager/Care Coordinator | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2019-10-18 |
| 1740680669 | Julian Lee | Counselor | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2014-08-27 |
| 1417362484 | Michelle Le | Counselor | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2014-06-27 |
| 1861780934 | Yea-ching Wang | Marriage & Family Therapist | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2011-07-11 |
| 1902100738 | Chinda Peo Bendo | Case Manager/Care Coordinator | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2011-01-09 |
| 1346541471 | Sarina C Campos | Marriage & Family Therapist | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2010-11-05 |
| 1669698072 | Eric A Martinez | Counselor | 185 Martinvale Ln, San Jose, CA 95119-1319 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| 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 |
|---|---|---|---|---|
| 1548896236 | Gregory P. Salerno, Ph.d., A Psychology Corporation | Psychologist | 390 Spar Ave Ste 205, San Jose, CA 95117-1644 | 2020-03-13 |
| 1548766454 | Jenifer Miri | Psychologist | 6370 Mojave Dr, San Jose, CA 95120-5310 | 2018-04-01 |
| 1417460676 | Belinda Sangrat | Psychologist | 275 Hospital Pkwy Ste 370, San Jose, CA 95119-1136 | 2017-11-09 |
| 1659818060 | Kathlyn Clementelli | Psychologist | 3212 Tenley Dr, San Jose, CA 95148-3639 | 2017-01-23 |
| 1932650223 | Lorena Ho | Psychologist | 199 Laurel Grove Ln, San Jose, CA 95126-4848 | 2016-10-20 |
| 1477906410 | Momentum for Mental Health - Crisis Stabilization | Psychologist | 101 Jose Figueres Ave Ste 50, San Jose, CA 95116-2022 | 2016-07-14 |
| 1215388764 | Momentum for Mental Health - Cr | Psychologist | 101 Jose Figueres Ave Ste 10, San Jose, CA 95116-2022 | 2016-06-27 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1386046258 | Nicole Dow | Psychologist | 1417 Allegado Aly, San Jose, CA 95128-4547 | 2014-09-22 |
| 1902219850 | Rohn Taylor Stark Jr. | Psychologist | 150 Palm Valley Blvd, 3128, San Jose, CA 95123-1060 | 2014-06-09 |
| 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.