Spread Your Wings LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SPREAD YOUR WINGS LLC

Practice address

150 N Jackson Ave Ste 10
San Jose, CA 95116-1908

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Serry Dumbuya

Title

Ceo

Phone

(408) 401-2984

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1376020313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W 2ND ST",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPREAD YOUR WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "DUMBUYA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-401-2984"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spread Your Wings for Mental Health Inc (ACCESS Mental Health, Inc)
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• Alina Spring, MSW
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• Delores Christina Springs, BA, MA, MHRS
• Rachel Gelberg Spronz

• Adult Mental Health Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.