NPIMap

Organization Active NPI

Santa Clara County Pals Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
National Provider Identifier
1750586574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANTA CLARA COUNTY PALS PROGRAM
Practice address
150 W Hedding St
San Jose, CA 95110-1706
Phone
(408) 896-6986
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryann Barry
Title
Associate Director
Phone
(408) 885-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

150 W Hedding St
San Jose, CA 95110-1706

Mailing address

871 Enborg CT
San Jose, CA 95128-2645
Phone (408) 896-6986

National Provider Directory

National Provider Directory
Tax ID family
Scvhhsaep174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750586574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 ENBORG CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282645",
            "telephone_number": "408-896-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HEDDING ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101706",
            "telephone_number": "408-896-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA COUNTY PALS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "408-885-6708"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.