Ac Marriage and Family Therapy Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AC MARRIAGE AND FAMILY THERAPY INC.

Practice address

717 W Julian St Unit 345
San Jose, CA 95126-2857

Phone

(650) 394-7585

NPI assigned

Sep 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antwon Chatmon, LMFTNPI 1841747870

Title

Owner

Phone

(650) 394-7585

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antwon Malone Chatmon

  • Marriage & Family Therapist
  • Campbell, CA
  • NPI 1841747870
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1013743145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26043",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951596043",
            "telephone_number": "650-394-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W JULIAN ST UNIT 345",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262857",
            "telephone_number": "650-394-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "CHATMON",
        "authorized_official_first_name": "ANTWON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-394-7585",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.