Organization Active NPI

Little Spirits LLC

  • Adolescent and Children Mental Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1194374827
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LITTLE SPIRITS LLC
Doing business as
Little Spirits LLC
Practice address
77 N Almaden Ave
Ste #102
San Jose, CA 95110
Phone
(917) 612-0673
Fax
(408) 606-9449
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Cathy Venezia, MSED, BCBANPI 1083268031
Title
Behavior Therapist
Phone
(917) 612-0673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

77 N Almaden Ave
Ste #102
San Jose, CA 95110

Mailing address

77 N Almaden Ave Apt 102
San Jose, CA 95110-2776
Phone (917) 612-0673

Other names 1

  • Little Spirits LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1194374827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N ALMADEN AVE APT 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102776",
            "telephone_number": "917-612-0673",
            "fax_number": "408-606-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N ALMADEN AVE",
            "address_2": "STE #102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110",
            "telephone_number": "917-612-0673",
            "fax_number": "408-606-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SPIRITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "VENEZIA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "917-612-0673",
        "authorized_official_credential": "MSED, BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Spirits LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 6, 2022; 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.