Affirm & Embrace Psychotherapy Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AFFIRM & EMBRACE PSYCHOTHERAPY INC

Practice address

441 Park Ave
San Jose, CA 95110-2615

Phone

(669) 262-7070

Fax

(408) 287-7428

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Hoangoanh Anna Thi Nguyen, PSYDNPI 1508347097

Title

Owner

Phone

(669) 262-7070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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

• Hoangoanh Anna Thi Nguyen

  • Psychologist
  • San Jose, CA
  • NPI 1508347097
  Medicare reassignment NPD Authorized official
• Jaime Galindo, PSY.D.

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1922175058
  NPD
• Melissa Godoy

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1326970237
  NPD (past)
• Frederick Scott Hing, M.D., PH.D.

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1255613048
  NPD (past)
• Kenneth Parker Jr., PHD

  • Psychologist
  • San Jose, CA
  • NPI 1417132275
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1023712940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41132",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951601132",
            "telephone_number": "669-262-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102615",
            "telephone_number": "669-262-7070",
            "fax_number": "408-287-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM & EMBRACE PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-09-21",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANGOANH ANNA",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "669-262-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.