NPIMap

Organization Active NPI

City of San Jose Grace Community Center Women's Program

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1952516031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY14707 Issued in CA
Legal business name
CITY OF SAN JOSE GRACE COMMUNITY CENTER WOMEN'S PROGRAM
Practice address
146 S 10TH St
San Jose, CA 95112-3641
Phone
(408) 293-0422
Fax
(408) 277-2474
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Blevins, PH.D.
Title
Director
Phone
(408) 293-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY14707 CA Primary

Addresses

Primary practice location

146 S 10TH St
San Jose, CA 95112-3641

Mailing address

484 E San Fernando St
San Jose, CA 95112-3513
Phone (408) 293-0422

National Provider Directory

National Provider Directory
Tax ID family
City of San Jose5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952516031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E SAN FERNANDO ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123513",
            "telephone_number": "408-293-0422",
            "fax_number": "408-277-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S 10TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123641",
            "telephone_number": "408-293-0422",
            "fax_number": "408-277-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN JOSE GRACE COMMUNITY CENTER WOMEN'S PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-293-0422",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY14707",
            "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 Aug 22, 2020; 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.