Willow Anxiety and Ocd

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW ANXIETY AND OCD

Practice address

431 Monterey Ave
Los Gatos, CA 95030-5319

Phone

(215) 667-8883

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tejal Jakatdar, PHDNPI 1114299039

Title

Owner

Phone

(215) 667-8883

Specialties & licenses 1

Addresses

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.

• Tejal Jakatdar, PH.D.

  • Clinical Psychologist
  • San Jose, CA
  • NPI 1114299039
  Authorized official Same address or phone
• Jessica Jacobson

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1043069339
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1316679467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CORTEZ RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623246",
            "telephone_number": "650-274-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MONTEREY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305319",
            "telephone_number": "215-667-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW ANXIETY AND OCD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "JAKATDAR",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-667-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandice Williams, D.C.
• Preston Landon Williams, PA-C
• Michael Williamson, RADT
• Hailey Williford, LCSW
• Lara Jeanne Willing, B.A.
• Holly Madeleine Wilson, LMFT
• Lisa Wilson
• Monique Justine Wilson, MD
• Solomon Wilson
• Susan Wilturner, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.