Organization Active NPI

Empower Your Mind Behavioral Health Servicesprofessional Nursing Corp

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1861306714
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EMPOWER YOUR MIND BEHAVIORAL HEALTH SERVICESPROFESSIONAL NURSING CORP
Practice address
2570 N 1St St FL 2
San Jose, CA 95131-1035
Phone
(786) 809-1112
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU 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

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": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1861306714",
    "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 SERVICESPROFESSIONAL NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "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": "NU",
            "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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.