NPIMap

Organization Active NPI

Momentum for Mental Health

  • Case Management Agency
  • San Jose, CA
National Provider Identifier
1700037470
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOMENTUM FOR MENTAL HEALTH
Practice address
2001 The Alameda
San Jose, CA 95126-1136
Phone
(408) 261-7777
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Ms. Linda Clevenger, C.A.S.; N.A.C.R.P.S.
Title
Case Manager/Counselor
Phone
(408) 812-1741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2001 The Alameda
San Jose, CA 95126-1136

Mailing address

222 Santa Cruz Ave
Aptos, CA 95003-4411
Phone (408) 812-1741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1700037470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SANTA CRUZ AVE",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034411",
            "telephone_number": "408-812-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261136",
            "telephone_number": "408-261-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CASE MANAGER/COUNSELOR",
        "authorized_official_telephone_number": "408-812-1741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.A.S.; N.A.C.R.P.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2008; 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.