Organization Active NPI

Marriage and Family Therapy Collaborative a Professional Corporation

Doing business as DBT Center of Silicon Valley

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1538675525
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARRIAGE AND FAMILY THERAPY COLLABORATIVE A PROFESSIONAL CORPORATION
Doing business as
DBT Center of Silicon Valley
Practice address
1570 The Alameda Ste 319
San Jose, CA 95126-2305
Phone
(408) 207-5269
NPI assigned
Dec 28, 2017
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Tricia Jordan Mlnarik, MANPI 1275666117
Title
President/Ceo
Phone
(408) 207-5269

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1570 The Alameda Ste 319
San Jose, CA 95126-2305

Mailing address

545 Meridian Avenue
Ste. D #28233
San Jose, CA 95126-6618
Phone (408) 207-5269

Other practice location 1

18809 Cox Ave Ste 180
Saratoga, CA 95070-6618
Phone (408) 372-6818

Other identifiers 2

IdentifierTypeStateIssuer
1023464385MedicaidCA
1275666117MedicaidCA

Other names 1

  • DBT Center of Silicon Valley Doing business as

National Provider Directory

National Provider Directory

Locations

545 Meridian Ave
Ste D
San Jose, CA 95126
Phone (408) 800-1073

18809 Cox Ave
Ste 180
Saratoga, CA 95070
Phone (408) 350-1820

Practitioners & affiliated clinicians

Practitioners 4

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1538675525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MERIDIAN AVENUE",
            "address_2": "STE. D #28233",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951266618",
            "telephone_number": "408-207-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-207-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18809 Cox Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Saratoga",
            "state": "CA",
            "postal_code": "950706618",
            "country_code": "US",
            "telephone_number": "408-372-6818",
            "fax_number": "408-350-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARRIAGE AND FAMILY THERAPY COLLABORATIVE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MLNARIK",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-207-5269",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023464385",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275666117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBT Center of Silicon Valley",
            "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 Mar 8, 2024; 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.