Organization Active NPI

South Bay Community Counseling Center

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1316083884
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SOUTH BAY COMMUNITY COUNSELING CENTER
Practice address
1101 S Winchester Blvd BLDG O Suite 284
San Jose, CA 95128
Phone
(408) 271-8558
Fax
(408) 248-8260
NPI assigned
Jan 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Clifford Michael Brothers, PHDNPI 1700935160
Title
Vice President Director
Phone
(408) 271-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1101 S Winchester Blvd BLDG O Suite 284
San Jose, CA 95128

Mailing address

1101 S Winchester Blvd BLDG O Suite 284
San Jose, CA 95128
Phone (408) 271-8558

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste 284
San Jose, CA 95128
Phone (408) 271-8558

1101 S Winchester Blvd
Ste O284
San Jose, CA 95128
Phone (408) 271-8558

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316083884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD BLDG O SUITE 284",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-271-8558",
            "fax_number": "408-248-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD BLDG O SUITE 284",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-271-8558",
            "fax_number": "408-248-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "408-271-8558",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "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 Sep 11, 2025; 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.