NPIMap

Organization Active NPI

Peace-It-Together

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1982853305
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
42830 Issued in CA
Legal business name
PEACE-IT-TOGETHER
Practice address
1144 S Winchester Blvd
Ste. C
San Jose, CA 95128-3909
Phone
(408) 774-1009
Fax
(408) 249-2291
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Ms. Deborah Licurse, MFTNPI 1457487670
Title
Director
Phone
(408) 774-1009

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
Community/Behavioral Health Agency 251S00000X 42830 CA Primary

Addresses

Primary practice location

1144 S Winchester Blvd
Ste. C
San Jose, CA 95128-3909

Mailing address

1144 S Winchester Blvd
Ste. C
San Jose, CA 95128-3909
Phone (408) 774-1009

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory

Locations

1144 S Winchester Blvd
Ste C
San Jose, CA 95128
Phone (408) 774-1009

1588 Homestead Rd
Ste B
Santa Clara, CA 95050

1588 Homestead Rd
Ste B10
Santa Clara, CA 95050

1588 Homestead Rd
#10
Santa Clara, CA 95050
Phone (408) 774-1009

Practitioners & affiliated clinicians

Practitioners 8

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1982853305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 S WINCHESTER BLVD",
            "address_2": "STE. C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283909",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 S WINCHESTER BLVD",
            "address_2": "STE. C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283909",
            "telephone_number": "408-774-1009",
            "fax_number": "408-249-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE-IT-TOGETHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "LICURSE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-774-1009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "42830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 10, 2008; 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.