NPIMap

Organization Active NPI

County of Santa Clara

Doing business as SCCMHD - Juvenile Hall Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
National Provider Identifier
1497865976
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
SCCMHD - Juvenile Hall Mental Health Services
Practice address
840 Guadalupe Pkwy
Suite 238
San Jose, CA 95110-1714
Phone
(408) 299-3166
Fax
(408) 971-2651
NPI assigned
Aug 30, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Nancy Dane Pena, PHD
Title
Director
Phone
(408) 885-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

840 Guadalupe Pkwy
Suite 238
San Jose, CA 95110-1714

Mailing address

828 South Bascom Avenue
Suite 200
San Jose, CA 95128
Phone (408) 885-5784

Other names 1

  • SCCMHD - Juvenile Hall Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
SC Vly HTLH Hosp Sys

Locations

840 Guadalupe Pkwy
Ste 238
San Jose, CA 95110
Phone (408) 278-6230

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1497865976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SOUTH BASCOM AVENUE",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-885-5784",
            "fax_number": "408-885-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GUADALUPE PKWY",
            "address_2": "SUITE 238",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101714",
            "telephone_number": "408-299-3166",
            "fax_number": "408-971-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-885-5782",
        "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": [
        {
            "organization_name": "SCCMHD - Juvenile Hall Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCCMHD - Juvenile Hall Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.