NPIMap

Organization Active NPI

Goodwill Industries of Santa Clara County

Doing business as Goodwill of Silicon Valley

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1750751780
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOODWILL INDUSTRIES OF SANTA CLARA COUNTY
Doing business as
Goodwill of Silicon Valley
Practice address
1080 N 7TH St
San Jose, CA 95112-4425
Phone
(408) 869-9160
Fax
(408) 869-9172
NPI assigned
Oct 2, 2015
Reactivated
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Trish Dorsey
Title
Vice President of Mission Services
Phone
(408) 869-9230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1080 N 7TH St
San Jose, CA 95112-4425

Mailing address

1080 N 7TH St
San Jose, CA 95112-4425
Phone (408) 869-9160

Other names 1

  • Goodwill of Silicon Valley Doing business as

National Provider Directory

National Provider Directory

Locations

1080 N 7th St
San Jose, CA 95112
Phone (408) 869-9160

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1750751780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N 7TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124425",
            "telephone_number": "408-869-9160",
            "fax_number": "408-869-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N 7TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124425",
            "telephone_number": "408-869-9160",
            "fax_number": "408-869-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SANTA CLARA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "deactivation_date": "2021-05-16",
        "reactivation_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MISSION SERVICES",
        "authorized_official_telephone_number": "408-869-9230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill of Silicon Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2021; 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.