NPIMap

Organization Active NPI

County of Santa Clara

Doing business as SCCMHD - KidScope

  • Adolescent and Children Mental Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1265558324
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
SCCMHD - KidScope
Practice address
828 S Bascom Ave
Suite 100 and 120
San Jose, CA 95128-2651
Phone
(408) 793-5959
NPI assigned
Mar 21, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Nancy Dane Pena, PH.D.
Title
Director
Phone
(408) 885-5782

Specialties & licenses 1

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

Addresses

Primary practice location

828 S Bascom Ave
Suite 100 and 120
San Jose, CA 95128-2651

Mailing address

828 S Bascom Ave
Suite 200
San Jose, CA 95128-2651
Phone (408) 885-5770

Other identifiers 1

IdentifierTypeStateIssuer
43APOtherCASDMH PROVIDER NUMBER

Other names 1

  • SCCMHD - KidScope Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Clara Cnty Health177 organizations share this tax ID, including this one
Part of
Santa Clara Cnty Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

828 S Bascom Ave
Ste 100
San Jose, CA 95128
Phone (408) 793-2014

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1265558324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282651",
            "telephone_number": "408-885-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE",
            "address_2": "SUITE 100 AND 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282651",
            "telephone_number": "408-793-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-885-5782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDMH PROVIDER NUMBER",
            "identifier": "43AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCCMHD - KidScope",
            "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 Feb 13, 2012; 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.