Organization Active NPI

Skylight Behavioral Therapy, Inc.

  • Behavior Analyst
  • Campbell, CA
National Provider Identifier
1487535043
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SKYLIGHT BEHAVIORAL THERAPY, INC.
Practice address
1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356
Phone
(408) 891-8235
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Ethan Lin, M. ED
Title
Clinical Director
Phone
(408) 891-8235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356

Mailing address

1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1487535043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S BASCOM AVE STE 2400",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S BASCOM AVE STE 2400",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082356",
            "telephone_number": "408-891-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT BEHAVIORAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "408-891-8235",
        "authorized_official_credential": "M. ED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.