Organization Active NPI

Men's Therapy Center

  • Adult Mental Health Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1417674706
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MEN'S THERAPY CENTER
Practice address
230 California Ave Ste 107
Palo Alto, CA 94306-1637
Phone
(858) 442-6834
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Ross Siden Nelson, PSY.D.NPI 1831321520
Title
Ceo
Phone
(415) 874-5652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

230 California Ave Ste 107
Palo Alto, CA 94306-1637

Mailing address

230 California Ave Ste 107
Palo Alto, CA 94306-1637
Phone (858) 442-6834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1417674706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 107",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "858-442-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 107",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "858-442-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "SIDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-874-5652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.