NPIMap

Organization Active NPI

Act for Mental Health

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1871855916
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ACT FOR MENTAL HEALTH
Practice address
441 Park Avenue
San Jose, CA 95110
Phone
(408) 287-2640
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Ms. Anna Nguyen, PSYD.
Title
Executive Director
Phone
(669) 262-7070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

441 Park Avenue
San Jose, CA 95110

Mailing address

P.O. Box 41132
San Jose, CA 95160-1132
Phone (408) 267-2840

National Provider Directory

National Provider Directory

Locations

441 Park Ave
San Jose, CA 95110
Phone (408) 287-2640

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1871855916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 41132",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951601132",
            "telephone_number": "408-267-2840",
            "fax_number": "408-287-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PARK AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110",
            "telephone_number": "408-287-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "669-262-7070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 4, 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.