Organization Active NPI

Nicole Saad Hofschneider

  • Adolescent and Children Mental Health Clinic/Center
  • Scotts Valley, CA
National Provider Identifier
1548989155
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NICOLE SAAD HOFSCHNEIDER
Practice address
125 Bethany Dr # B202
Scotts Valley, CA 95066-2803
Phone
(831) 402-2742
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Nicole Saad Hofschneider, LCSW
Title
Mental Health Therapist
Phone
(831) 402-2742

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

125 Bethany Dr # B202
Scotts Valley, CA 95066-2803

Mailing address

PO Box 67460
Scotts Valley, CA 95067-7460
Phone (831) 600-5887

National Provider Directory

National Provider Directory

Locations

125 Bethany Dr
#B202
Scotts Valley, CA 95066
Phone (831) 402-2742

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": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1548989155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67460",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950677460",
            "telephone_number": "831-600-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BETHANY DR # B202",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950662803",
            "telephone_number": "831-402-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SAAD HOFSCHNEIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "HOFSCHNEIDER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SAAD",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "831-402-2742",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.