Individual provider Active NPI

Christine Zwicky, M.A.

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1750783510
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797
Phone
(408) 510-3480
Fax
(408) 510-3484
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797

Mailing address

1720 Ala Moana Blvd Apt D106
Honolulu, HI 96815-1331
Phone (602) 692-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1750783510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ALA MOANA BLVD APT D106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151331",
            "telephone_number": "602-692-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKMOOR AVE STE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263797",
            "telephone_number": "408-510-3480",
            "fax_number": "408-510-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWICKY",
        "first_name": "CHRISTINE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "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 Dec 28, 2016; 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.