NPIMap

Organization Active NPI

Emq Families First

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Jose, CA
National Provider Identifier
1104151059
Registry record updated Oct 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
3649 Issued in CA
Legal business name
EMQ FAMILIES FIRST
Practice address
6630 Marymonte CT
San Jose, CA 95120-4517
Phone
(408) 205-8996
NPI assigned
Oct 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2009

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

Authorized official

Name
Robert Dehn
Title
Program Director
Phone
(408) 335-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 3649 CA Primary

Addresses

Primary practice location

6630 Marymonte CT
San Jose, CA 95120-4517

Mailing address

6630 Marymonte CT
San Jose, CA 95120-4517
Phone (408) 205-8996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1255132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255132800000",
    "number": "1104151059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 MARYMONTE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204517",
            "telephone_number": "408-205-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 MARYMONTE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204517",
            "telephone_number": "408-205-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMQ FAMILIES FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-10",
        "last_updated": "2009-10-10",
        "status": "A",
        "authorized_official_last_name": "DEHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "408-335-1931"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2009; 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.