Organization Active NPI

Company for Healthy Living

  • Psychologist
  • San Jose, CA
National Provider Identifier
1912995143
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20326 Issued in CA
Legal business name
COMPANY FOR HEALTHY LIVING
Practice address
2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117
Phone
(408) 354-6783
Fax
(831) 335-2118
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Richard F Hill, PH.D.NPI 1700993342
Title
Executive Director
Phone
(408) 354-6783

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY20326 CA Primary

Addresses

Primary practice location

2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117

Mailing address

2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117
Phone (408) 354-6783

Other names 1

  • CHL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070409000533 CA Part B Supplier - Clinic/Group Practice 4284738840 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburg, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1912995143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342117",
            "telephone_number": "408-354-6783",
            "fax_number": "831-335-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342117",
            "telephone_number": "408-354-6783",
            "fax_number": "831-335-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANY FOR HEALTHY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-354-6783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.