Organization Active NPI

House of Autism Properties

  • Adolescent and Children Mental Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1235816406
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
HOUSE OF AUTISM PROPERTIES
Practice address
4685 Albany Cir Apt 142
San Jose, CA 95129-1131
Phone
(669) 222-0692
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Sorour Rezvani
Title
Director
Phone
(669) 222-0692

Specialties & licenses 1

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

Addresses

Primary practice location

4685 Albany Cir Apt 142
San Jose, CA 95129-1131

Mailing address

4685 Albany Cir Apt 142
San Jose, CA 95129-1131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1235816406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 ALBANY CIR APT 142",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 ALBANY CIR APT 142",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291131",
            "telephone_number": "669-222-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF AUTISM PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "SOROUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "669-222-0692"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "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 Jun 29, 2023; 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.