Campbell Teen & Family Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAMPBELL TEEN & FAMILY THERAPY

Practice address

441 N Central Ave Ste 6
Campbell, CA 95008-1428

Phone

(408) 579-9806

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Ingrid T Higgins, MANPI 1508080953

Title

Owner

Phone

(408) 579-9806

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Higgins

  • Mental Health Counselor
  • Watsonville, CA
  • NPI 1508080953
  NPD Authorized official
• Josephine Paige Javine, MA AMFT

  • Mental Health Counselor
  • Campbell, CA
  • NPI 1538896725
  NPD
• Martha Patricia Perez-Quintanilla, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1588203731
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1285279869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N CENTRAL AVE STE 6",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081428",
            "telephone_number": "408-579-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N CENTRAL AVE STE 6",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081428",
            "telephone_number": "408-579-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL TEEN & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-579-9806",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508080953",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.campbellteenfamilytherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "441 N Central Ave Ste 6",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950081428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Jean Cameron, O.T.
• Campbell Medicals LLC
• Campbell Optometric Group
• Campbell Optometric Group
• Campbell Surgery Center
• Campbell Union School District
• Gabrielle Campbell
• Campbell'S Premier Physical Therapy, Inc
• Elizabeth Ann Campisi
• Miriam Campos Solorio

• Community/Behavioral Health Agency in Campbell, CA
• Providers in Campbell, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.