My Integrative Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MY INTEGRATIVE CARE

Practice address

135 Haverhill CT
San Jose, CA 95139-1223

Phone

(408) 772-0726

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Phan, PSYD

Title

Chief Financial Officer/Owner

Phone

(408) 614-4854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1811776594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HAVERHILL CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951391223",
            "telephone_number": "408-772-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HAVERHILL CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951391223",
            "telephone_number": "408-772-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY INTEGRATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER/OWNER",
        "authorized_official_telephone_number": "408-614-4854",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.