Disruptive Therapy Collective for the Individual, Family, and Child

Primary specialty

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

Legal business name

DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD

Practice address

1769 Park Ave Ste 250
San Jose, CA 95126-2030

Phone

(408) 365-4238

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Alice Bui, LMFTNPI 1013358845

Title

Ceo

Phone

(408) 365-4238

Specialties & licenses 1

Addresses

Other names 1

• Disruptive Therapy Collective Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Alice Bui, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1013358845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1083392302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 PARK AVE STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262030",
            "telephone_number": "408-365-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 PARK AVE STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262030",
            "telephone_number": "408-365-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-365-4238",
        "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": [
        {
            "organization_name": "Disruptive Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Disruptive Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Discover Chiropractic a Doss Corporation
• Discovery Charter School
• Discovery Charter School II
• Asuncion Purisima Disini, M.D.
• Disruptive Therapy Collective
• Domenico Distefano
• Christine Dithridge
• Susan Marie Ditter, M.D., M.P.H.
• Monica R. Dittrich, MFT
• Rae Ditty, BCBA

• 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 Mar 6, 2026; 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.