Emq

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MFT36007 Issued in CA

Legal business name

EMQ

Practice address

251 Llewellyn Ave
Campbell, CA 95008-1940

Phone

(408) 379-3790

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Aguila

Title

Clinical Program Manager

Phone

(408) 379-9085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144392416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 BLOOMFIELD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244743",
            "telephone_number": "408-723-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CLINICAL PROGRAM MANAGER",
        "authorized_official_telephone_number": "408-379-9085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "MFT36007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treacy Louise Eller, MFT
• Leah May Elvitsky, BA
• Lee Ann Emanuel
• Embark Behavioral Health
• Anastasiya Emelyanova
• Emq Children and Family Services
• Emq Children and Family Services
• Emq Children Family Services
• Emq Familiesfirst Soc
• Tina Elaine Engel

• Emotionally Disturbed Childrens' Residential Treatment Facility in Campbell, CA
• Providers in Campbell, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.