Organization Active NPI

Empower Your Mind Behavioral Health Services LLC

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1821942632
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EMPOWER YOUR MIND BEHAVIORAL HEALTH SERVICES LLC
Practice address
2570 N 1St St FL 2
San Jose, CA 95131-1035
Phone
(786) 809-1112
NPI assigned
Feb 26, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPOWER YOUR MIND BEHAVIORAL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Andrea JordanNPI 1962227413
Title
Owner
Phone
(786) 809-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

2570 N 1St St FL 2
San Jose, CA 95131-1035

Mailing address

2570 N 1St St FL 2
San Jose, CA 95131-1035
Phone (786) 809-1112

National Provider Directory

National Provider Directory
Part of
Empower Your Mind Behavioral Health Services LLC

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1821942632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 N 1ST ST FL 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311035",
            "telephone_number": "786-809-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 N 1ST ST FL 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311035",
            "telephone_number": "786-809-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER YOUR MIND BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPOWER YOUR MIND BEHAVIORAL HEALTH SERVICES LLC",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-809-1112"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "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 Jun 17, 2026; 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.