NPIMap

Organization Active NPI

Teen Therapy Center, a Professional Licensed Clinical Social Worker Co

Doing business as Teen Therapy Center

  • Community/Behavioral Health Agency
  • Los Gatos, CA
National Provider Identifier
1255886776
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEEN THERAPY CENTER, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORKER CO
Doing business as
Teen Therapy Center
Practice address
246 Union Ave
Los Gatos, CA 95032-3903
Phone
(408) 389-3538
NPI assigned
Aug 25, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Lindsay Smith, LCSWNPI 1609178375
Title
Owner
Phone
(408) 389-3538

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

246 Union Ave
Los Gatos, CA 95032-3903

Mailing address

246 Union Ave
Los Gatos, CA 95032-3903

Other names 1

  • Teen Therapy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthy Brain Center a Licensed Clinical Social Work2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1255886776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323903",
            "telephone_number": "408-389-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN THERAPY CENTER, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORKER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-389-3538",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teen Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.