Active NPI
Family Matters Inc
- Adult Mental Health Clinic/Center
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- FAMILY MATTERS INC
- Practice address
- 1210 S Bascom Ave Ste 114
San Jose, CA 95128-3535 - Phone
- (408) 757-7323
- NPI assigned
- May 21, 2019
- Last updated
- May 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent Cameron Campbell
- Title
- Owner
- Phone
- (408) 757-7323
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1210 S Bascom Ave Ste 114
San Jose, CA 95128-3535
Mailing address
1210 S Bascom Ave Ste 114
San Jose, CA 95128-3535
Phone (408) 757-7323
Other practice location 1
950 S Bascom Ave Ste 2005
San Jose, CA 95128-3538
Phone (408) 757-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
1210 S Bascom Ave
Ste 114
San Jose, CA 95128
Phone (408) 334-7560
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1407415359
-
- Mental Health Counselor
- San Jose, CA
- NPI 1639633928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558396800000",
"number": "1598322927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S BASCOM AVE STE 114",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283535",
"telephone_number": "408-757-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S BASCOM AVE STE 114",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283535",
"telephone_number": "408-757-7323"
}
],
"practiceLocations": [
{
"address_1": "950 S Bascom Ave Ste 2005",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951283538",
"country_code": "US",
"telephone_number": "408-757-7323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY MATTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "CAMERON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-757-7323"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Family Alliance of Resolution and Tools
- Family Chiropractic Care Inc.
- Family Feels LLC
- Family Health Group
- Family Love Homecare
- Family Medicine Associates of San Jose Inc
- Family Practice Medical Associates, Inc.
- Familycare Behavioral Services (FamilyCare Autism Services)
- Foroozan Famoori, MD
- Debbi K. Fan, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.