Active NPI
Little Spirits LLC
- Adolescent and Children Mental Health Clinic/Center
- San Jose, CA
National Provider Identifier
1194374827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Venezia, MSED, BCBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- San Jose, CA
- NPI 1083268031
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.