NPIMap

Organization Active NPI

As Children Blossom Therapy Center

  • Specialist
  • Campbell, CA
National Provider Identifier
1700105566
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AS CHILDREN BLOSSOM THERAPY CENTER
Practice address
621 E Campbell Ave
Suite 11a
Campbell, CA 95008-2139
Phone
(408) 866-4700
Fax
(408) 866-1700
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Ms. Jodi E Huber, M.A. OTR/LNPI 1104327618
Title
Owner/Partner
Phone
(408) 866-4700

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

621 E Campbell Ave
Suite 11a
Campbell, CA 95008-2139

Mailing address

621 E Campbell Ave
Suite 11a
Campbell, CA 95008-2139
Phone (408) 866-4700

National Provider Directory

National Provider Directory

Locations

621 E Campbell Ave
Ste 11A
Campbell, CA 95008
Phone (408) 314-9322

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1700105566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "SUITE 11A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-866-4700",
            "fax_number": "408-866-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "SUITE 11A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-866-4700",
            "fax_number": "408-866-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AS CHILDREN BLOSSOM THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "408-866-4700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.