Starlight Adolescent Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

VN 231676 Issued in CA

Legal business name

STARLIGHT ADOLESCENT CENTER

Practice address

5824 Chris Dr
San Jose, CA 95123-3501

Phone

(408) 224-4458

Fax

(408) 224-4458

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Abu Torab Zakir

Title

Licensed Vocational Nurse

Phone

(408) 224-4458

Specialties & licenses 1

Addresses

Tax ID family

Starlight Adolescent Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Starlight Community Services

  • Case Management Agency
  • San Jose, CA
  • NPI 1942631692
  NPD tax ID

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1396913349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 CHRIS DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233501",
            "telephone_number": "408-224-4458",
            "fax_number": "408-224-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 CHRIS DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233501",
            "telephone_number": "408-224-4458",
            "fax_number": "408-224-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT ADOLESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "ZAKIR",
        "authorized_official_first_name": "ABU",
        "authorized_official_middle_name": "TORAB",
        "authorized_official_title_or_position": "LICENSED VOCATIONAL NURSE",
        "authorized_official_telephone_number": "408-224-4458"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "VN 231676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stark
• Katherine Jean Stark, M.P.T., ATC
• Niel Fisher Starksen, M.D.
• Starlight Adolescent
• Starlight Adolescent Center
• Starlight Community Center
• Starlight Community Services
• Starlight Community Services
• Starlight Community Services, Inc. (James Lick High School)
• Starlight Community Services, Inc. (Silver Creek High School)

• Psychiatric Hospital in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.