Willow Anxiety and Ocd

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WILLOW ANXIETY AND OCD

Practice address

1900 The Alameda
Suite 610/630
San Jose, CA 95126-1404

Phone

(408) 475-1665

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Alfredo Perez

Title

Office Administrator

Phone

(408) 475-1665

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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

• Jessica Jacobson

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1043069339
  NPD
• Lauren Elizabeth Plotkin, LMFT, APCC

  • Marriage & Family Therapist
  • Campbell, CA
  • NPI 1063159085
  NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1760174247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 THE ALAMEDA",
            "address_2": "SUITE 610/630",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261404",
            "telephone_number": "408-475-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THE ALAMEDA",
            "address_2": "SUITE 610/630",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261404",
            "telephone_number": "408-475-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW ANXIETY AND OCD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "408-475-1665"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Willis
• Marque Willis
• Kathleen Willman
• Jennifer Willmes
• Carol Willoughby, R.N.
• Willow Glen Chiropractic
• Willow Glen Dental Specialists
• Willow Glen High
• Willow Glen Middle School
• Willow Glen Optm Physical Therapy

• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.